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Financial assistance form

*Please note, filling out this information does not ensure financial assistance. Transparently, we are working on raising money to assist all participants who need financial assistance, however, we have not yet raised the full amount we hope for. If you are enrolled in a bachelors or grad program, your institution may also provide support. We will be prioritizing Black, Indigenous and people of color but we recognize that finances are a complicated spectrum of circumstances and we want to hear from you regardless.
Email *
What is your name? *
Where do you live? *
What is your age? *
How do you identify your gender?
How do you identify your race and ethnicity?
Considering your circumstances and possibility, what is your ability to pay bracket?
What would you like us to know about your situation? *
Is there anything else you would like us to know?
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