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Conference Scholarship Application

Please submit this form no later than 3 weeks prior to the start of the conference/program.

Contact Information
*

First Name
Last Name
*

*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Conference Information
*

*

Start - End
*

*


(if not included in Program cost)
*

*

Questions
*

Maximum 300 words.
*

Maximum 300 words.
*

*

If you prefer to discuss this in person, please reach out to the respective staff member for the program.
Please Note
If your application is approved, you will be given half of the money before the conference/program and the second half after your follow-up program on campus has been completed. Additional funding may be available for your follow-up program. This will be determined during an in-person meeting with Hillel staff.