ClexaCon 2020: Scholarship Application
You are applying for a scholarship to help you get to ClexaCon 2020 in Las Vegas. Please complete a separate form for each person applying. If you need to travel with a parent or helper please note that in the 'notes' section below.
First Name: *
Your answer
Last Name: *
Your answer
Email Address: *
Your answer
Phone: *
Your answer
Location: *
Where would you be traveling from (city/country)?
Your answer
Airport Code:
Please list your airport choice if applying for flight assistance.
Your answer
Social Media Links: *
Please list your Twitter and Facebook account handles or provide links
Your answer
Your Age: *
Please enter your age as of ClexaCon 2020 (April 16, 2020)
Your answer
Gender: *
Required
Race/Ethnicity: *
Applying as: *
Do you need financial assistance for flights? *
Do you need financial assistance for your hotel stay? *
Are you applying for financial assistance for a 3-day pass? *
Write your essay (350 words max): *
Please write your essay with a maximum of 350 words
Your answer
Additional notes:
Please let us know if you need additional support for a parent or helper to attend. Each person requiring support must complete a separate form. Letting us know who you will be traveling with helps us plan and allocate funds accordingly.
Your answer
I acknowledge that if I am selected, my name and photo may be listed in the program/app/ClexaCon website as a scholarship recipient *
Required
I agree to the Terms and Conditions *
Please see our Terms and Conditions listed here: https://clexacon.com/terms/
Required
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This form was created inside of ClexaCon, LLC.