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 15, 2019

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 2019 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 mid-March of their status.

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* 1. First and Last Name

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* 2. Email Address

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* 3. Parent/Guardian First and Last Name

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* 4. Parent/Guardian Email Address

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* 6. City, State

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* 7. You must be between the ages of 13-22 as of July 8, 2019 to attend the Girl Up Leadership Summit. Due to space limitations, no exceptions may apply.

Date of birth:

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

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* 10. What type of school do you attend?

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

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

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* 13. Race (Check all that apply)

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

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

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* 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.

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

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