BIPOC Scholarship Application

BIPOC Scholarships:

Interested individuals must fill out an application form by Friday, September 1, 2023.
Applications will be collected and a lottery selection process will award scholarships.
Selected applicants will be notified of their scholarship award by Friday, September 15, 2023.
Applicants who are not selected can choose to be waitlisted for the event as additional scholarships may become available.

* Indicates required field

Name *

First

Last

Email *

Which day(s) of the summit do you wish to attend? (Choose One) *

Day 1- Virtual Only Day 1 & Day 2- Full Summit Registration

Tell us about why you'd like to attend this event and what you hope to get out of it: *

Will you require additional financial assistance to attend? Please choose all that apply: *

Transportation Assistance Accommodations Childcare Other (describe below)

If you answered "yes" to the previous question, how much financial support would you need in order to attend? *

Submit