RuralX Scholarship Application

RuralX Scholarship Application

Complete the form below to apply for a RuralX Scholarship.
RuralX scholarships are reserved for attendees without institutional support or who would otherwise not be able to attend. Do you qualify for a scholarship?*

YesNo
Name*

First NameLast Name
Email*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Why are you interested in attending RuralX?*
How will you use what you learned during RuralX afterwards?*
What type of ticket are you interested in?*

In-Person Rural ChangemakerOnline Rural Changemaker
If you receive a RuralX scholarship, are you comfortable using our materials to be a Social Ambassador and promoting our event on social media? Your response does not determine whether or not you will receive a scholarship.

YesNo
Thanks for being a rural shaper!

We are still accepting applications for in-person ticket requests. We will email awarded recipients by June 3rd. Please note this scholarship is for the cost of the ticket only.

We will be accepting applications for online ticket requests through June 5th. We will email recipients by June 6th.
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