2021 CAC Scholarship Form-Application Deadline September 1, 2021
1 Applicant Per Form
The 2021 CAC will take place Friday, November 5th & Saturday, November 6th. For which day are you applying for funding to attend? *
Full Name (First, Last) *
Phone # *
Email *
Address *
What is your experience/interest in adoption and foster care? Check all that apply. *
What is your race? (Check all that apply.)
It costs $110 per per day attendee to fund CAC programing. We have a limited number of scholarship dollars and ask all applicants to tell us their gross household income (including AAP Funding (for current and former foster youth) and all other non-taxable income to insure the funding goes to low and moderate income families.
What is your gross household income? *
How many people, including yourself, live in your household? *
How much can you afford to pay to attend 1 day of the CAC 2020? *
Please use this section to explain extenuating circumstances that make it difficult for you to pay any of the amounts above. *
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