Chicago Roundup 2019 Scholarship Application
The 2019 Chicago Roundup will take place at the Center on Halsted on August 23-25.  If you are applying for a scholarship, please answer the questions below except the last question.  In order to be considered, applicants must fill out the entire application.
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Name *
Name for Badge *
Address
Cell Phone Number *
Email Address *
Fellowship: *
Required
Indicate times you will be available to complete 4 hours of service as assigned by the Volunteer Coordinator: *
Required
Are you able to contribute any amount toward your Roundup registration?  If so, how much? *
In this box, please provide any additional information you would like to be considered for your application. *
Please share briefly on where you are at in your recovery and what you hope to gain from coming to the Roundup (3-5 sentences). *
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