2017 Quip Diversity Scholarship
Thank you for visiting the Quip Diversity Scholarship application form!

The application includes:
○ General background information
○ Three essay questions (choose any 3 out of 5 questions)
○ Resume and transcript
○ Letter of recommendation from a professor, instructor, adviser, or supervisor.

For more details about the Quip Diversity Scholarship, visit quip.com/scholarship. Please send any questions to scholarship@quip.com.

Applications were due on Sunday, April 16 at 11:59pm PDT. We are no longer accepting applications for the 2017 Quip Diversity Scholarship.

Background Information
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
School *
Your answer
Graduation Year *
Gender *
Your answer
Race or Ethnicity *
Your answer
Please feel free to self-identify here.
Your answer
Essay Questions
Answer any 3 of the following questions. If you answer more than 3 questions, we will only read the first 3. Each answer should be at most 3000 characters (around 500 words).
What impact do you hope the scholarship will have on you?
Your answer
What is a diversity-related obstacle you've faced and how does it affect your goals in technology?
Your answer
Tell us about activities and/or organizations you are involved with that help promote diversity in technology.
Your answer
If you had a time machine, went 20 years in the future, and saw that the tech industry was extremely diverse and inclusive, what would you think happened in those 20 years?
Your answer
Describe a technical project you worked on, including the challenges you faced and what went according to plan.
Your answer
Resume and Transcript
Please upload your resume and transcript to http://bit.ly/2llFo3S.
Resume *
Required
Transcript *
Required
Letter of Recommendation
Please enter the name and email address of the person who will be submitting your letter of recommendation. We will send instructions on how to submit the letter to this email address. Letters of recommendation are due on Sunday, April 30.
Recommender's Name *
Your answer
Recommender's Email *
Your answer
How did you hear about the Quip Diversity Scholarship? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Quip. Report Abuse - Terms of Service