2020 Girl Up Leadership Summit Financial Aid Application

Tell us about yourself

The Girl Up Leadership Summit is an opportunity for youth leaders (ages 13-22) to gain the skills, resources, and confidence to make an impact on gender equality in their communities. We know that cost can sometimes be a barrier to experiences like the Summit, and Girl Up is committed to supporting leaders regardless of their economic background. The deadline to apply for need-based travel financial assistance is February 16, 2020.

For selected applicants, Girl Up will reimburse for up to $1,000 USD for transportation costs (bus/train/flight) and provide a complimentary registration to the 2020 Girl Up Leadership Summit. All financial aid recipients must abide by Girl Up's travel policy.

There is a limited amount of financial aid available. Unfortunately, we are not able to provide financial support to every applicant. We encourage applicants to demonstrate their need in the application.

Applicants will be notified by the end of March of their status.

Question Title

1. First and Last Name (Required.)

Question Title

2. Email Address (Required.)

Question Title

3. Parent/Guardian First and Last Name (Required.)

Question Title

4. Parent/Guardian Email Address (Required.)

Question Title

5. In what country do you live? (Required.)

Question Title

6. City, State (Required.)

Question Title

7. You must be between the ages of 13-22 as of July 7, 2020 to attend the Girl Up Leadership Summit. Due to space limitations, no exceptions may apply. (Required.)

Date of birth:

Date

Question Title

8. How did you hear about the Girl Up Leadership Summit?

Girl Up Website

Girl Up Newsletter

Girl Up Community

Social Media

Friend

School / Teacher

Parent

Celebrity

Other (please specify)

Question Title

9. For the upcoming 2020-2021 school year, what grade or US-grade equivalent will you be in? (Note: In the US, Grade 9 is the first year of secondary school) (Required.)

Other (please specify)

Question Title

10. What type of school do you attend?

Public

Private

Charter

Homeschooled

Not applicable

Question Title

11. How are you currently affiliated with Girl Up?(Check all that apply) (Required.)

Girl Up Club Member

Girl Up Club Leader (President, Vice President or E-Board)

Girl Up Campus Member

Girl Up Campus Leader (President, Vice President or E-Board)

Girl Up Coalition Leader (Coalition Leader or E-Board)

Girl Up Teen Advisor Program

Girl Up Young Professional

WiSci STEAM Camp Participant

New to Girl Up

Question Title

12. If applicable, what is the name of your Girl Up Club?

Question Title

13. Race (Check all that apply) (Required.)

Asian/Pacific Islander

Black/African American/ African

Latinx/Latino/Latina/Hispanic

Multiracial/Multiethnic

Native American/Indigenous/Alaskan Native

White/Caucasian

Question Title

14. What is your pre-tax household income (in U.S. dollars)? (Required.)

$34,999 or less

$35,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $149,999

$150,000 or more

I prefer not to identify

Question Title

15. Estimated Budget for Travel Costs in USD (fight/train/bus) (Required.)

Question Title

16. Financial aid recipients are required to cover their full transportation costs to the Summit, and hereby agree to receive a reimbursement check upon arrival to the Summit. If you do not attend the Summit, you will not be eligible to receive a reimbursement. By checking yes, you agree to receive a reimbursement for your transportation cost at the Summit and forfeit the option if you do not attend the Summit. (Required.)

Yes

I am concerned about being able to afford my transportation costs upfront and I'd like to speak with someone at Girl Up

Question Title

17. If selected for financial assistance, I agree to adhere to abide by Girl Up's travel policy. (Required.)

Yes

Question Title

* 1. First and Last Name (Required.)

Question Title

* 2. Email Address (Required.)

Question Title

* 3. Parent/Guardian First and Last Name (Required.)

Question Title

* 4. Parent/Guardian Email Address (Required.)

Question Title

* 5. In what country do you live? (Required.)

Question Title

* 6. City, State (Required.)

Question Title

* 7. You must be between the ages of 13-22 as of July 7, 2020 to attend the Girl Up Leadership Summit. Due to space limitations, no exceptions may apply. (Required.)

Question Title

* 8. How did you hear about the Girl Up Leadership Summit?

Question Title

* 9. For the upcoming 2020-2021 school year, what grade or US-grade equivalent will you be in? (Note: In the US, Grade 9 is the first year of secondary school) (Required.)

Question Title

* 10. What type of school do you attend?

Question Title

* 11. How are you currently affiliated with Girl Up?(Check all that apply) (Required.)

Question Title

* 12. If applicable, what is the name of your Girl Up Club?

Question Title

* 13. Race (Check all that apply) (Required.)

Question Title

* 14. What is your pre-tax household income (in U.S. dollars)? (Required.)

Question Title

* 15. Estimated Budget for Travel Costs in USD (fight/train/bus) (Required.)

Question Title

Question Title

* 17. If selected for financial assistance, I agree to adhere to abide by Girl Up's travel policy. (Required.)

1. First and Last Name (Required.)

2. Email Address (Required.)

3. Parent/Guardian First and Last Name (Required.)

4. Parent/Guardian Email Address (Required.)

5. In what country do you live? (Required.)

6. City, State (Required.)

7. You must be between the ages of 13-22 as of July 7, 2020 to attend the Girl Up Leadership Summit. Due to space limitations, no exceptions may apply. (Required.)

8. How did you hear about the Girl Up Leadership Summit?

9. For the upcoming 2020-2021 school year, what grade or US-grade equivalent will you be in? (Note: In the US, Grade 9 is the first year of secondary school) (Required.)

10. What type of school do you attend?

11. How are you currently affiliated with Girl Up?(Check all that apply) (Required.)

12. If applicable, what is the name of your Girl Up Club?

13. Race (Check all that apply) (Required.)

14. What is your pre-tax household income (in U.S. dollars)? (Required.)

15. Estimated Budget for Travel Costs in USD (fight/train/bus) (Required.)

17. If selected for financial assistance, I agree to adhere to abide by Girl Up's travel policy. (Required.)