2019 Conference Scholarship Application

DO NOT register for the conference until you hear back from us. This may take up to two weeks. While we will accommodate as many applicants as possible, a limited amount of financial assistance is available on a first-come, first-served basis. Questions? Contact Ann Chester, achester@hsc.wvu.edu.

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* 1. First & Last Name

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* 2. Address

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* 3. City

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* 4. County

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* 5. State

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* 6. Zip Code

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* 7. Phone Number

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* 8. Email

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* 9. If you are representing an organization at the conference, what is the name of your group? If not part of an organization, type "none."

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* 10. Are you a health profession's student?

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* 11. Are you an educator? 

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* 12. What is your age range?

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* 13. Will you be staying in an on-campus dorm?

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* 14. Have you attended a previous Try This Conference?

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* 15. Have you received a scholarship to a previous Try This conference?

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* 16. Why would you like to receive a scholarship to the 2019 Try This Conference?

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* 17. Describe project ideas you have and who you will work with.

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* 18. How will you use your experience at the conference in your community?

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