Scholarship Application — Public Theology & Public Policy Conference

Event Registration Scholarship Application Form

Please complete the following form to apply for a scholarship to reduce the cost of your conference registration fee. We look forward to reviewing your application.

Name

First Name

Last Name

Email

Institutional Affiliation

Financial Need and Circumstances

Please briefly describe your financial need and circumstances that have led you to request this scholarship.

How did you hear about this conference?

Contribution Towards Registration Fee

Please indicate an amount, if any, you are able to contribute towards your registration fee. Please note that all travel and overnight accommodations are user pay.