Scholarship Application for the 2020 CROATAN FORUM

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Scholarships will be awarded to cover the 2020 Croatan Forum registration cost. Travel and accommodation costs are not included in scholarship funding. Partial scholarship recipients will be offered a subsidized ticket priced at $350 (discounted by $600).

Email *

First and Last Name *

Email address *

Street address

City *

State *

Zip Code

Telephone number *

Which issues covered within the 2020 Forum most interest you? (Check all that apply) *

Impact Investing and Sustainable Finance

Climate Solutions and Just Transitions

Resilient Communities and Regenerative Economies

Racial Equity, Social Justice, and Inclusive Finance

Corporate Sustainability and Engagement

Other:

Required

Name of Employer, Organizational Affiliation, or University/College: *

Position/ Role: *

Please tell us about your work or interest in ecological resilience, social equity and/ or finance. *

How do you hope your participation in the Croatan Forum will inform your work or future endeavors? *

Which racial or ethnic identity do you claim? (Please check all that apply) *

Black or African American

Hispanic or Latino

Native Hawaiian or Pacific Islander

Asian

Native American

White or Caucasian

I prefer not to say at this time

Other:

Required

Which other aspects of diversity do you claim? (Please check all that apply) *

Veteran

Refugee

Immigrant, New American, or First Generation American

LGBTQ

Differently-abled, Living with disability

None of these apply to me

I prefer not to say at this time

Other:

Required

What best describes the organization you are affiliated with? *

Startup for-profit business

Startup or low-resource nonprofit organization

Established for-profit business

Established nonprofit organization

Academia

Government

Other:

Required

Please use this space to elaborate on the question above.

What is your organization's annual budget?

Less than $100,000

$100,000- $500,000

$500,000- $1 Million

More than $1 Million

Clear selection

Are you applying for a full scholarship or partial scholarship?

Full ($950 ticket cost covered)

Partial ($600 ticket cost covered- $350 paid for by registrant)

Will you be able to attend if you only receive a partial scholarship?

Yes

Clear selection

Scholarships are available only to those planning on attending the full conference and are non transferable. Please check the box below to confirm you acknowledge this. *

I acknowledge that if I receive a scholarship I will register and plan to attend the full duration of the forum.

Required

Any additional questions can be sent to forum@croataninstitute.org.

A copy of your responses will be emailed to the address you provided.

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