NAMD Advocates 2022 Leadership Summit Scholarship Application

To learn more about this year's Summit visit: https://withkeri.com/2022summit/

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* 1. Please Enter Your Contact Information w 0

Name *

Company/Organization

City/Town *

State/Province *

ZIP/Postal Code

Country

Email Address *

Phone Number *

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* 2. Are you a current student, recent graduate or community organizer? w 0

Current Student

Recent Graduate

Community Organizer

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* 3. What school do you attend? (if applicable) w 0

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* 4. What company or organization do you represent? w 0

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* 5. Pronouns w 0

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* 6. Are you a part of the BIPOC (Black, Indigenous & Person of Color) Community? w 0

Yes

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* 7. Are you a part of the Disability Community? w 0

Yes

NAMD Advocates 2022 Leadership Summit Scholarship Application

Question Title

* 1. Please Enter Your Contact Information w 0

Question Title

* 2. Are you a current student, recent graduate or community organizer? w 0

Question Title

* 3. What school do you attend? (if applicable) w 0

Question Title

* 4. What company or organization do you represent? w 0

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* 5. Pronouns w 0

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* 6. Are you a part of the BIPOC (Black, Indigenous & Person of Color) Community? w 0

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* 7. Are you a part of the Disability Community? w 0

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* 8. Why would you like to attend the 2022 NAMD Advocates Leadership Summit? w 0

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* 9. How would you describe your work or career aspirations? Does your work intersect with racial and disability justice? w 0

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* 10. What does "Our Presence is Our Power" mean to you? w 0