Thank you for your interest in attending the Women on the Run training. We will keep all scholarship application information confidential. We have a limited amount of scholarship funds and will notify applicants ASAP.

Thank you.

* 1. What is your first name?

* 2. What is your last name?

* 3. What is your phone number?

* 4. What is your email address?

* 5. Why do you want to attend the Women on the Run program?

* 6. Do you plan to run for office in the next 2 years? If yes, what office and when?

* 7. The Women on the Run program fee is $100. Please let us know if you need a full $100 or partial $50 scholarship. If you do not receive a full scholarship, will you be able to find an alternative source of support to help you to attend?