CMwD Young Adult Network

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Scholarship Application

Please fill this out to the best of your ability please don’t worry if there are not connected with a home congregation or YA group but are still interested in District leadership. This is an information gathering tool as well as a scholarship form.

Please note that you may be asked to volunteer to help with tasks and chores during the event.

OPUS and Concentric Scholarships due by June 30.
ALL other Applications are due one week before the event.

Any questions please contact ktomczak@uua.org !

Personal Information

First Name *

Last Name *

Email *

Address *

City *

State *

Zip Code *

Congregation

Scholarship Details

Describe your current and past involvement in UU Young Adult movement or group. *

Please describe how you see yourself involved with Young Adult district or local work in the next year *

Please provide one or two references including contact information *

Specific amount of money you are requesting $ *

Please include any other information you would us to know about you. (leadership skills, hobbies, habits, special talents, interesting experiences, difficult situations, education etc etc...) Ways you would like to enhance our district community, (i.e. workshop ideas, district events, etc…):

For what CMwD event do you wish to receive a scholarship? *