I am applying for * You may apply for either one or both Transportation reimbursement for R/T transportation to/from Baltimore and your home city Lodging Award (Shared rooms) What nights do you need a room for? Check all that apply Night of Thursday, April 21 Night of Friday, April 22 First Name * Last Name * Contact Phone * Contact Email * Where is your home city? Where are you traveling from? * Organization (if applicable) Mission of your Organization (if applicable) Budget of your Organization (if applicable) Have you received a scholarship to a past DWN Conference? * Yes No What has your engagement with DWN been like in the past two years? * Describe your reasons for wanting to attend the conference * Describe your reasons for requesting a scholarship * If you or a family member have been impacted by the immigration detention system, please note it. Will you attend the full 2.5 day conference, April 21-23rd? If not, please explain * For Lodging Award, please tell us your gender identity - None -cisgender femalecisgender maletransgender femaletransgender malegender non-conforming Cisgender refers to someone who has a gender identity that aligns with what they were assigned at birth. You are cisgender if your birth certificate says you're male and you identify yourself as a man or if your birth certificate says you're female and you identify as a woman. For Lodging Awards, please indicate your roommate preference (select all that apply) cisgender female cisgender male transgender female transgender male gender non-conforming person I have no preference Any other requests or concerns? Leave this field blank