Scholarship Application for NCDD 2014

1. General questions

If you are unable to cover the full registration costs associated with attending the 2014 NCDD conference, please submit this 13-question application as soon as you are able to.

Please only apply for the assistance you need so we can support as many people as possible with our limited scholarship funds. Note that scholarships are for new registrants only. We cannot apply scholarships to registrations that have already been paid.

NEW 10/7/14 NOTE: At this point, feel free to just email sandy@ncdd.org and roshan@ncdd.org with a little info about yourself and the amount of support you need. It's challenging for us to keep checking in on new scholarship applications at this point!

Question Title

* 1. Your Contact Information

Name: *

Organization and Title:

City: *

State:

Country (if not U.S.):

Email Address: *

Phone Number: *

Question Title

* 2. Are you a member of NCDD?

Yes - I'm a supporting, sustaining, student, or organizational member

Yes - I'm a member (non-dues-paying)

I'm not sure

Question Title

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

None - this will be my first NCDD conference

NCDD 2012 in Seattle

One of NCDD's 2010 regional events (Portland, Austin, Boston, Cupertino or Denver)

NCDD 2008 in Austin

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?

Question Title

* 4. Please briefly describe your involvement in dialogue and deliberation and why you'd like to attend the NCDD conference. Also let us know here if you're already set to play a role at this year's conference.

Be sure to continue on to the next page of the survey to answer a few demographic questions and then to the final page to specify the level of support you're seeking.

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