SCHOLARSHIP APPLICATION FORM

Thanks to generous donations from our sponsors, we are pleased to offer a limited number of scholarships to qualifying applicants.

 The purpose of the Russian River Confluence Scholarship is to provide an opportunity for individuals who, due to financial limitations, would be otherwise unable to attend and participate in the 2017 Confluence Event. Scholarships cover registration fees and include meals provided at the Confluence, participation in interactive listening sessions and workshops and attendance at the Friday evening speaker event and networking reception. No travel, lodging or funds for other expenses are available.


Scholarships are limited and will be considered on a first come first served basis with one scholarship allowed per organization. To be considered as a scholarship recipient, please complete the application form below no later than March 6, 2017. Applicants will be notified by March 10 regarding awards.

Name
Name
Address
Address
Phone
Phone
Are you a stakeholder representing or interested in: