Scholarship Application for Unpacking Racism for Action Cohort 2020-2021
RequiredRequired Question(s)
There are limited scholarships available. You must first apply to participate in the Unpacking Racism for Action 2020-2021 cohort before applying for this scholarship. While scholarship amounts are awarded based on financial need, your selection to participate in the cohort is solely based on merit and not impacted by the need for scholarship.
 
1.
Please enter the information indicated below.

First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:
Cell Phone:

Required 2.
In 300 words or less, what does "Unpacking Racism for Action" mean to you?
 

1000 characters left.
Required 3.

How do you intend to share what you learn with others?

 

1000 characters left.
Required 4.

NEEDS ASSESSMENT: Please select one of the following.

HIGH NEED: I'm covering costs myself and identify as low-income, so I wouldn't be able to participate without financial support.
MEDIUM NEED: I'm covering costs myself or with my organization's or company's help, and won't be able to participate without additional support.
LOW NEED: I can cover the costs myself or with my organization's or company's help, but this support will help enhance my ability to participate.
Other  
  • Comment:

  • 500 characters left.