HAI Global PARTICIPANT Scholarship Fund application
Thank you for your desire to attend a HAI Global (HAI) workshop.

HAI is committed to increasing our equity and inclusion across our organization. We offer partial scholarships to participants on an as needed basis and as funding allows.

Some of our scholarships are designed for those attending our workshops for the first time. We also offer Diversity, Equity and Inclusivity (DEI) scholarships. Additional scholarship funding may be available depending on your circumstances. We will use the information provided below to determine which scholarship best fits your situation.

We are committed to serving the needs of a diverse community. We ask the demographic questions below to help us achieve that goal. All information is held in the strictest confidence. Once you have completed this form, a staff member will follow-up with you to let you know whether you were awarded a partial scholarship.

Thank you!

Sign in to Google to save your progress. Learn more
Full Name *
Street Number and Address *
Street number and street name
City *
The city in which you reside
State,  Province or Region *
The part of the country in which you reside
Country *
Country
Email address *
In order for our staff to communicate with you
Cell phone number *
Please enter numbers separated by dashes or periods
What is your age? *
How would you describe your gender identity? Please mark all that apply. *
Required
If your gender identity is not in the above list, please share how you identify.
How do you describe your sexual orientation? Please mark all that apply. *
Required
If your orientation is not in the above list, how would you describe yourself?
Which racial and ethnic group (s) describe you? Please mark all that apply. *
Required
The racial or ethnic group(s) that describe me (if not on the above list) is/are
Do you self-identify with any other intersectionalities, such as Neurodivergent, Autistic, wheelchair user, hearing or visually impaired, or others? Which ones?
HAI has separate funding for diversity scholarships.   Do you believe that you might qualify?
Clear selection
How did you find out about HAI? *
Check all that apply
Required
If your response is not in the above list,  please let us know how you heard about HAI.
What workshop or course would you like to attend? *
What is the date of the workshop or course would you like to attend? *
Enter the location of the workshop you would like to attend *
Choose a location option(s)
I verify that I will be 18 years of age prior to the workshop date *
You must be age 18 years or older to attend
How much financial aid are you requesting? *
Enter as a number
Have you ever attended a HAI workshop? *
If yes, please give the name, level, approximate date and location of the workshop attended
Please use the space provided to describe anything we should know about your financial situation in order to make a decision about your request. Is there anything else you would like to tell us? *
Is there anything else you want us to know?
I certify that all of the information provided in this application is true and accurate to the best of my knowledge. *
Today's Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of HAI Global. Report Abuse
Google Forms