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2022 Workplace Summit Scholarship Application

This application must be submitted by Friday, September 16th, 2022.

Do you identify as transgender?
These answers are important in allowing us to meet our goals for inclusion.
Race/Ethnicity
Sexual Orientation
NO RESPONSE NEEDED IN THIS FIELD
What are the major goals of the applicant organization?
  • {name}
Who does the organization serve and approximately how many people were served in the past year?
  • {name}
Has anyone attended the Out & Equal Workplace Summit in the last 2 years? If so, who and when?
  • {name}
Has any scholarship been awarded in the past 2 years? If so, please give details.
  • {name}
Has this organization received or applied for other financial assistance to attend the Summit?
  • {name}
Are you interested in attending Summit as an in-person attendee or e-Pass attendee?
Is there anything else we should know when considering this application?
  • {name}
What role do you hold in the organization?
  • {name}
Why do you want to attend the 2022 Workplace Summit? What do you hope to gain? What do you plan to contribute?
  • {name}
Are there any other relevant comments you wish to share?
  • {name}
I confirm that I have answered the questions on this form to the best of my knowledge and belief

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