Scholarship Application for NCDD 2008 Survey

Scholarship Application for NCDD 2008

1. Scholarship Application for the 2008 NCDD Conference

If you (or your organization) are unable to cover the full costs associated with attending the 2008 NCDD conference, please submit this application as soon as you are able to.

Please only apply for the assistance you need so that we can support as many people as possible with our limited scholarship funds.

1. Your Contact Information

Your Contact Information Name:
Organization/Program:
Street Address:
City/Town:
State:
ZIP/Postal Code:
Country (if not U.S.):
Email Address:
Phone Number:

2. Are you a member of NCDD?

Are you a member of NCDD? Yes

I'm not sure

3. Which, if any, previous NCDD conferences have you attended?

Which, if any, previous NCDD conferences have you attended? None - this will be my first NCDD conference

NCDD 2006 in San Francisco

NCDD 2004 in Denver

NCDD 2002 in Washington, DC

If you HAVE attended previous NCDD conferences, did you receive scholarship support?

4. Please briefly describe your involvement in dialogue and deliberation.

Please briefly describe your involvement in dialogue and deliberation.

5. Why are you interested in attending the 2008 National Conference on Dialogue & Deliberation? What would you hope to gain from your participation in the conference?

Why are you interested in attending the 2008 National Conference on Dialogue & Deliberation? What would you hope to gain from your participation in the conference?