XITO Summer Institute 2020: Registration
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone # *
Your answer
Gender pronouns (she/her, he/him, they, them...)
Your answer
Organization Name (school, community group...) *
Your answer
Have you attended any XITO institutes in the past? *
T-shirt size (Unisex sizes S-3XL) *
Dietary restrictions
Name of PayPal payee if different from participant's name (school admin assistant or other)
Your answer
Please indicate below your agreement to allow your name and likeness to be reproduced in XITO promotional materials including social media and websites affiliated with the Xicanx Institute for Teaching and Organizing. *
Are you applying for a scholarship? If yes, continue and if not submit your form. *
What type of scholarship is applicant applying for?
If you are applying for a partial scholarship what amount are you applying for?
Scholarship applicants:Please explain (approximately 200 words) how the applicant will take the skills and knowledge from XITO 2020 and apply them to the applicant's own community. Be specific.
Your answer
Applicant agrees that XITO Scholarships are awarded solely at the discretion of the XITO Scholarship Committee. All decisions are final. Applicants will be notified of scholarship awards by May 1, 2020.
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