2017 ARC Conference Scholarship Application

We're glad that you are interested in attending SSTI's 2017 Annual Conference in Washington, D.C. on September 13-15. Thanks to a partnership with the Appalachian Regional Commission, we are able to offer a limited number of scholarships to organizations located within and serving a portion of the ARC footprint, with priority given to organizations with financial need. Scholarships cover the conference registration and one night of lodging at the conference hotel. Other travel costs remain the responsibility of the recipient.

To apply for a scholarship, simply complete this form by August 13. If you have any questions, contact Jason Rittenberg with SSTI at 614.901.1690 or at rittenberg@ssti.org.

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* 1. Information for the applying organization.

Organization *

Address *

Address 2

City/Town *

State *

ZIP Code *

County *

Website

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* 2. Contact information for the primary scholarship applicant.

Name *

Title

Email Address *

Phone Number *

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* 3. Contact information for a second applicant, if applicable.

Name

Title

Email Address

Phone Number

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* 4. Briefly describe your organization's role in the regional innovation support network (e.g., support entrepreneurs, facilitate capital access, increase R&D or tech transfer, workforce, etc.).

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* 5. Explain why your organization needs a scholarship to attend SSTI's 2017 Annual Conference.

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* 6. If you receive a scholarship, can your organization afford to cover your remaining travel costs?

Yes

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* 7. If you receive a scholarship, do you agree to participate in a post-conference debriefing to SSTI of the event's value for your work?

Yes

By clicking the button below, you are submitting an application to receive an ARC-funded scholarship to SSTI's 2017 Annual Conference in Washington, D.C. on September 13-15, 2017. The information you provide will be used by SSTI and SSTI alone to make scholarship determinations. All decisions are final. You certify that the information you have provided is truthful and accurate.