Annual Gathering Scholarship Application

Name(Required)
In relation to your cultural background (broadly defined as race, class, sexual orientation, ethnicity, gender identity, age, disability, language, country of origin, immigration status, etc.), what identities are important to you that will be helpful for us to know about? CHHSM is committed to issues of Race, Diversity, Equity, Inclusion and Justice and creating a diverse learning community. We recognize how demographic identities and their experiences are not monolithic and deeply appreciate you taking time to complete this section of the application
I am applying for scholarship funding to cover the registration cost of $595.
I am applying for scholarship funding to cover the hotel cost of $169/night plus tax (up to four nights).
Have you attended an Annual Gathering in the past?(Required)
If awarded a scholarship, I agree to attend all sessions and write a brief summary of my learnings.(Required)
Scholarships to the 2024 CHHSM Annual Gathering are limited and decisions will be made in the order requests are received.

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