Scholarship Instructions / Terms & Conditions

PLEASE READ BEFORE COMPLETING YOUR APPLICATION:

Please complete the following scholarship application. Your answers will remain strictly confidential and your application will not be shared with anyone, or any organization. Applicants from people living outside of the United States will not be accepted.

If your scholarship application is approved, then you will be notified by email with the subject line: "ADAP CONFERENCE SCHOLARSHIP APPROVED."

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****UPDATE 06/15/17**** Only Scholarship Option A is available. 

There are four (4) scholarship options. You will be asked to CHOOSE ONLY ONE.

If the option you want to choose isn't available, then that means the option is no longer available. Please only complete the next available option if you're willing to accept the scholarship level available.

If you're seeking travel assistance (hotel accommodations) under scholarship options B or D, then please be advised that you will have a roommate at the hotel to ensure the maximum number of people can attend and participate.

If you're seeking travel assistance (airfare, train, bus, etc.) under scholarship option C or D, then please be advised that you will be responsible for your own travel; you will be asked to complete a travel reimbursement form and furnish receipts. You will be reimbursed within 7 days after the conference.

** SCHOLARSHIP OPTION A

Please waive my conference registration fee ($100.00) and awards dinner registration ($65.00) only.

NOTE: Please do NOT apply for Scholarship A if you are seeking travel assistance.

** SCHOLARSHIP OPTION B (NO LONGER AVAILABLE)

Please waive my conference registration fee ($100.00) and awards dinner registration ($65.00); and

Please provide me with two nights hotel ($189.00 x 2).

** SCHOLARSHIP OPTION C (NO LONGER AVAILABLE)

Please waive my conference registration fee ($100.00) and awards dinner registration ($65.00); and

Please provide me with roundtrip airfare/train/bus (up to $300.00).

** SCHOLARSHIP OPTION D (NO LONGER AVAILABLE)

Please waive my conference registration fee ($100.00) and awards dinner registration ($65.00);

Please provide me with two nights hotel ($189.00 x 2); and

Please provide me with roundtrip airfare/train/bus (up to $300.00).

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Disclaimer: Remember, if you're applying for scholarship options B or D and your scholarship is approved, then you will be sharing your hotel room with another summit attendee of the same gender (unless requested otherwise). If you're applying for scholarship option C or D, then you will be responsible for purchasing your air/train/bus ticket and then you will be reimbursed for the cost of the ticket up to $300.

UPDATE 06/15/17: Only Scholarship Option A is available.

UPDATE 04/18/17: There are a limited number of Scholarship D's being offered this year to enable us to assist more people interested in attending the conference. Please keep it in mind when selecting your scholarship preference.

* 1. Please confirm that you read the scholarship application instructions, as well as the terms & conditions.

* 2. Please confirm that you understand the following statement: "If my scholarship to attend the conference is approved, then I agree to attend at least 80% of the conference sessions."

* 3. Please select your scholarship request:

* 4. Please provide your COMPLETE contact information. Note: If you fail to provide all of your contact information, then your application will automatically be declined.

* 5. Please select the State of your current residency:

* 6. What is your HIV status?

* 7. Are you currently receiving services under the AIDS Drug Assistance Program (ADAP), or not?

* 8. What is your gender?

* 9. Would this be the first time that you attended our conference?

* 10. Please indicate your annual income:

* 11. Please indicate if any of the following at-risk populations apply to you (check all that apply):

* 12. Please indicate why you want to attend the conference (minimum 25 words or more)? Note: If your answer is less than the required 25 word minimum, then your application will automatically be declined.

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