PubWest Membership Scholarships

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PubWest is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion. We celebrate and support independent publishers and strive to reach and lift up underserved and underrepresented populations through networking events and virtual initiatives. We recognize all diverse experiences, including (but not limited to) LGBTQIA, Indigenous, people of color, gender diversity, people with disabilities, and ethnic, cultural, and religious minorities. If you identify as having such a diverse experience, we encourage you to apply; please fill out the form below.

First Name *

Last Name *

Email address *

Phone number

Street Address *

City *

State/Province *

Zip Code *

Country *

Race/Ethnicity Identity (private) *

African-American, African, Black

Asian, South Asian, Asian American, Pacific Islander

Caucasian, White

Hispanic, Latinx

Middle Eastern, North African

Native American, American Indian, Alaskan

Biracial, Multiracial

Option Not Listed

Prefer Not to Say

Your Gender Pronouns *

he/him/his

she/her/hers

they/them/theirs

other

Prefer Not to Say

Identify as LGBTQIA? (private) *

Yes

Prefer Not to Say

Disabilities (as defined by the ADA) *

Deaf / hearing impaired

Mentally ill / psychiatric disability

Neurodivergent (Autism, ADD / ADHD, auditory, sensory processing differences)

Physical impairment

Low vision / visually impaired / blind

Chronic illness

Cognitive disabilities

Option not listed

I do not identify as having any disabilities as defined by the ADA

Age range (private) *

18-24

25-34

35-44

45-54

55-64

65 and above

Member Type *

Publisher

Student

Associate (businesses that support publishers)

Other:

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