Stipend Application for the Texas Legislative Event, January 29

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Stipend Application for the Texas Legislative Event, January 29 - 31, 2023.

Thank you for your interest. Our goal is to help as many women as possible to attend Legislative Event. If a stipend to help with travel, childcare, or other expenses would help make it possible for you to attend, please complete this brief application form.
Stipend funds are limited; we will not necessarily be able to accommodate all requests.

Email *

Name *

Phone
*

Someone will call you to follow up

You home church / faith community
*

Your faith tradition: *

Methodist

Presbyterian

Lutheran

Baptist

Episcopalian

Catholic

Jewish

Muslim

Other:

If you are Methodist, which of these is your UMC Conference?
If you are unsure or out of state, add name of nearby city in Other

Central Texas Conference

New Mexico Conference (includes El Paso area)

North Texas Conference

Northwest Texas Conference

Rio Texas Conference

Texas Conference

Other:

Clear selection

Have you attended Texas Legislative Event before?

2023 will be my first time

Yes, but not in a long time

1 -- 4 years

5 - 9 years

More than 10 times!

What are you requesting the stipend funds for? (travel, hotel, gas money, etc.) How much are you requesting?
*

Anything else you want to tell us?

Send me a copy of my responses.

Submit

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