2017 Conference Scholarship Application

All members are valued in our community

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We are very excited to receive your application for a scholarship to the 2017 AIS-DSD conference.  The AIS-DSD Support Group does not want financial hardship to keep anyone from our annual conference. The Board carefully reviews all applications and makes decisions based on need in combination with other factors on the scholarship scoring guide. The deadline for scholarship applications is April 30th, 2017. Scholarships will be announced after May 15th, 2017. Before receiving a scholarship, please confirm with your place of work or situation that you can attend and register to go to the conference. Understand there are many with needs, and if you are unable to attend, let us know as soon as possible so that someone else may receive the scholarship in time to attend.

Please note that this year we will be only giving partial scholarships for registration fees.  We will not be covering housing or transportation fees.

When applying and considering costs, the following information may be helpful. Registration is $250.00 for the first attendee, and $175.00 each additional family member. The location is the DoubleTree by Hilton Hotel Phoenix Tempe, and rooms are $72 a night without tax. There is a complimentary airport shuttle to the hotel. Conference check-in begins the evening of Thursday, July 13th, 2017 at the host hotel(Please keep in mind that as a non-profit corporation, we may be required to send you and the IRS a 1099-MISC form reporting this donation.)

If you could be helped by sharing a room with other attendees, please let us know and we will work toward matching you with a roommate.  

Please check the Scholarship Scoring Guide for further information on how we will score these scholarship requests.  Priority will always be given to members for whom this will be their first conference.  

Upon submission of a scholarship request, please expect an email within 24 hours.  If you do not receive an email, please contact us at scholarship@aisdsd.org immediately.  This is very important.  We will not be accepting any late requests.  

Your Name

Your Email

Your Mailing Address

Your Phone Number

Best time to call you if necessary

Your Gender: Female, Male, Gender Diverse, etc. (so we may better serve you)

Attendee Category

Are you a member of the AIS-DSD Support Group?

Is this your first annual AIS-DSD Support Group Conference?

If you answered no, how many conferences have you attended, and when?

Would you be willing to share a room with up to 3 other people?

If you are unable to share a room, is there a specific reason keeping you from sharing a room?

Why are you requesting financial assistance?

Have you provided services or volunteered in the community in the past? If so, please explain.

What do you hope to gain from this meeting?

How would you give back to the support group and "pay it forward"?

Is there anything else you would like us to know?

Prove you are human:
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Thank you for submitting your application for consideration. Your information will be kept confidential and will be used only for the review organized by the AIS-DSD Support Group Board of Directors. We look forward to hearing from you.

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