REEL RESISTANCE - Scholarship Request
Please complete this form to be considered for a scholarship. Please note that limited complimentary tickets are available. Our team will follow up with you within a week.
Name
First Name
Last Name
Email Address
example@example.com
Pronouns
Mailing Address
Street Address
Street Address Line 2
City
State
ZIP Code
Educational Information
Name of College / University
Major(s) / Field(s) of Study
Grade or Year Level
Date Expected to Graduate
-
Month
-
Day
Year
Date
Why are you interested in attending REEL RESISTANCE?
Why do you request a scholarship?
For which event(s) are you request a scholarship?
August 1 only - Film Screening (7:00-10:30 pm)
August 2 only - Community Summit (10:30 am-5:00 pm)
August 1 & 2 - Film Screening AND Community Summit
Applicant's Signature
Name of Applicant
First Name
Last Name
Date Signed by Applicant
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: