2023 Choosing to Lead Scholarship

Thank you for your interest in Choosing to Lead! Please complete all fields below in full. Please contact Stephanie Chewning at 201-960-7066 or email stephanie@onehundredmiles.org if you have any questions or need additional information.

Scholarships are non-transferable and will be awarded on a rolling basis and as funds allow.

*1.Name:(Required.)

*2.Email Address:(Required.)

*3.Phone Number(Required.)

*4.Are you:(Required.)

A community member

A college student

A high school student

A middle school student

A parent/educator

I am a parent/educator nominating someone else for a scholarship (please list their name below)

Other (please comment below)

Comment:

*5.Are you applying for a:(Required.)

Partial Scholarship

Full Scholarship

We are working hard to make Choosing to Lead accessible to everyone, but have a limited number of full scholarships available. How much, if anything, would you be able to contribute to conference registration?

*6.How would you (or your nominee) benefit from attending Choosing to Lead?(Required.)

*7.We are recruiting volunteers to help with various roles throughout the conference. Would you be willing to help as part of your registration?(Required.)

Yes

*8.We have limited scholarship dollars available. If you are awarded a scholarship, will you commit to attending and participating in the full day?(Required.)

Yes

Current Progress,

0 of 8 answered

See how easy it is to create surveys and forms.

Privacy & Cookie Notice