Scholarship Request Form
1. Please provide a good email to contact you:
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2. For which course are you requesting a scholarship?
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Introduction to Urban Agroecology (Full as of 6/4/2021)
Introduction to Herbal Medicine & Allyship
3. What is your approximate household income?
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Less than $40,000
$40,000 - $60,000
$60,000-$100,000
Above $100,000
4. Are you a student?
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Yes, Full time
Yes, Part-time
No
5. Are you an educator?
Yes
No
6. Please describe your gender identity
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7. How do you define your ancestry?
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8.
Please provide a detailed description of your request for a scholarship to fully participate in either the Introduction to Urban Agroecology (currently full) or Introduction to Herbal Medicine & Allyship courses.
(Max 700 characters)
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