UNA-USA 2019 Global Leadership Summit Scholarship Interest Form
Thank you for your interest in attending our UNA-USA 2019 Global Leadership Summit! If you are interested in being considered for a student scholarship, please fill out this form no later than May 27, 2019 11:59 PM EST.

All potential scholarship recipients must fulfill all of the following requirements:

1) Must be at least 18 years old
2) Must plan to enroll in a college / university in the United States in fall 2019
3) Must not be graduating college / university in 2019
4) Must be eligible to vote

Scholarship recipients will either receive a full scholarship or a travel stipend. Due to the high demand of scholarships we receive every year, decisions will be considered by the UNA-USA National Office on a first come first serve basis. Participants must be committed to attending the entirety of the UNA-USA Global Leadership Summit, beginning at 12 pm on Saturday, June 8, 2019 and ending at 5 pm on June 12, 2019.

If you are interested in learning more about the Global Leadership Summit, please click here: https://unausa.org/events/leadership-summit/

Please contact Youth Engagement and Advocacy Coordinator - Marco Sanchez: msanchez@unfoundation.org for more information!

Full Name (First, Middle, Last) *
Your answer
Email *
Your answer
College / University *
Your answer
Date of Birth (must be over 18 by June 1, 2019 to qualify for scholarship) *
MM
/
DD
/
YYYY
Graduation Year *
Your answer
City, State of current residence *
Your answer
Zip Code of current residence *
Your answer
Are you registered to vote?
Why are you interested in attending the UNA-USA Global Leadership Summit? (max. 350 words) *
Your answer
Are you an existing UNA-USA Campus Chapter Leader? *
If no, are you interested in starting a UNA-USA Campus Chapter at your College / University? *
Emergency Contact (Name, Email) *
Your answer
Will you require any special accommodations? If so, please indicate. *
Your answer
Participants must be committed to attending the entirety of the UNA-USA Global Leadership Summit, beginning at 12 pm on Saturday, June 8, 2019 and ending at 5 pm on June 12, 2019. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service