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* 1. Contact Information

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* 2. Which summit are you applying for? (note: some summits are not open yet for scholarship applications)

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* 3. Which day(s) do you plan on attending the summit?

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* 4. Do you identify as any of the following? (check all that apply)

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* 5. Do you work with any of the following underrepresented groups? (check all that apply)

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* 6. Briefly describe your work or studies, as it relates to creative placemaking. Limit 150 words.

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* 7. What do you want to learn more about at the summit? Limit 150 words.

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* 8. What impact do you hope to achieve in your community by attending the summit? Limit 150 words.

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* 9. Who do you need to connect to in order to further the reach, impact, or scope of your project/organization?

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* 10. What knowledge or experiences can you provide the summit participants? Limit 150 words. 

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* 11. Would you like to say anything else in support of your scholarship application? Limit 150 words.

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* 12. How did you hear about the CPL Summits?

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