Scholarships

Name *

First Name

Last Name

Gender Identity *

We invite you to complete this question to help us evaluate our diversity and inclusion efforts. Self identification is voluntary and any information that you provide will be recorded and maintained in a confidential file.

Female

Male

Non-Binary/Genderqueer

Transgender

Transfemme

Transmasc

Some Other Gender Identity

Prefer Not to Say

Race/Ethnicity *

We invite you to complete this question to help us evaluate our diversity and inclusion efforts. Self identification is voluntary and any information that you provide will be recorded and maintained in a confidential file.

White/Caucasian

Hispanic or Latino

Black or African American

Asian

Indigenous Peoples, First Nations, Native American, or Alaska Native

Middle Eastern or North African

Some other race, ethnicity, or origin

Prefer Not to Say

If selected as a scholarship recipient, I acknowledge and accept that I will be financially responsible for all travel costs, meals and incidental expenses incurred before, during, and after the Conference. *

No

Yes

If selected as a scholarship recipient, I acknowledge and accept that I will be responsible for securing my own lodging if I wish to arrive/depart outside of the Conference timeframe. *

No

Yes

If selected as a scholarship recipient, I acknowledge and accept that I will be required to volunteer for a minimum of one four-hour shift over the Conference weekend on a volunteer team unless otherwise specified by Q Christian. *

No

Yes

If selected as a scholarship recipient, I acknowledge and accept that my scholarship may be released to another applicant if I am unable to provide confirmation of transportation to the Conference event by December 5th, 2024. *

No

Yes