IPPS Justice, Equity, Diversity, and Inclusion Scholarship (JEDIS) 2025

IPPS Justice, Equity, Diversity, and Inclusion Scholarship (JEDIS) 2025
Name*

First NameLast NameDegree(s)
Email*
example@example.com
Institution/Organization*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Do you identify with any of the following? (check all that apply)

African-American/BlackLatinxAsianPacific IslanderNative AmericanLGBTQ+VeteranPerson with disabilitiesOther
Please attached a copy of your CV*

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Please briefly describe your background including the community you serve with specific emphasis on what qualifies you and/or the community you serve as under-represented, economically disadvantaged, or socially disenfranchised.*

0/500
Please attach a letter of support from your supervisor OR an IPPS member*

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Should be Empty: