End Well 2020 Application for Scholarship Tickets

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𝗪𝗲 𝘃𝗮𝗹𝘂𝗲 𝗱𝗶𝘃𝗲𝗿𝘀𝗶𝘁𝘆 𝗮𝗻𝗱 𝗶𝗻𝗰𝗹𝘂𝘀𝗶𝗼𝗻 𝗮𝘁 𝗘𝗻𝗱 𝗪𝗲𝗹𝗹 𝗮𝗻𝗱 𝘄𝗮𝗻𝘁 𝗮𝗹𝗹 𝗴𝗿𝗼𝘂𝗽𝘀 𝘁𝗼 𝗯𝗲 𝗶𝗻𝗰𝗹𝘂𝗱𝗲𝗱 𝗶𝗻 𝘁𝗵𝗲 𝗲𝗻𝗱 𝗼𝗳 𝗹𝗶𝗳𝗲 𝗰𝗼𝗻𝘃𝗲𝗿𝘀𝗮𝘁𝗶𝗼𝗻. 𝗙𝗼𝗿 𝗘𝗻𝗱 𝗪𝗲𝗹𝗹 𝟮𝟬𝟮𝟬, 𝘄𝗲 𝘄𝗶𝗹𝗹 𝗯𝗲 𝗼𝗳𝗳𝗲𝗿𝗶𝗻𝗴 𝗮 𝗹𝗶𝗺𝗶𝘁𝗲𝗱 𝗻𝘂𝗺𝗯𝗲𝗿 𝗼𝗳 𝗙𝗥𝗘𝗘 𝘁𝗶𝗰𝗸𝗲𝘁𝘀 𝘁𝗼 𝗲𝗻𝗰𝗼𝘂𝗿𝗮𝗴𝗲 𝗮𝘁𝘁𝗲𝗻𝗱𝗮𝗻𝗰𝗲 𝗮𝗻𝗱 𝘄𝗲 𝗶𝗻𝘃𝗶𝘁𝗲 𝘆𝗼𝘂 𝘁𝗼 𝗮𝗽𝗽𝗹𝘆 𝗶𝗳 𝘁𝗵𝗲 𝗰𝗼𝘀𝘁 𝗼𝗳 𝘁𝗵𝗲 𝘀𝘆𝗺𝗽𝗼𝘀𝗶𝘂𝗺 𝗶𝘀 𝗮 𝗯𝗮𝗿𝗿𝗶𝗲𝗿.

You must apply to be considered.
All eligible applicants will be entered in a randomized lottery for a limited number of tickets.

IMPORTANT DETAILS:
The ticket includes only a Symposium ticket, and does NOT include travel, accommodation, or workshop tickets.
Deadline for applications: September 30, 2020 at 5:00 pm PST.
Notifications will be sent by October 15, 2020. Once chosen, tickets are strictly non-transferrable.

Email *

Confirm Email Address *

First Name *

Last Name *

Job Title *

Organization *

Have you attended End Well Symposium before? *

Yes

I identify my ethnicity as: *

American Indian or Alaska Native

Asian

Hawaiian or Pacific Islander

Black or African American

Hispanic or Latinx

Two or more races

Prefer not to answer

Other:

The gender I identify with is: *

Female

Male

Non-binary/Third gender

Other:

Do you require any special ADA accommodations? If so, please provide specifications and we will do our best to accommodate your request.

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