Girls Empowerment Network - We Are Girls Conference

GENaustin's We Are Girls Conference

Scholarship Application

To request a scholarship please submit the following:

The theme of We Are Girls is "bullying, body image, and being a girl."
In 200 or less words, please tell us your thoughts about bullying, body image, and/or being a girl and why it is important to focus on these topics.

In no more than 2 sentences, please explain why you are requesting a scholarship
in order to attend We Are Girls.

Number of Attendees Requested

Number of Adults
Number of Girls:

Adult 1 First Name Last Name Phone Number Email Address Line 1 Address Line 2 City State Zip Code Same address for all registrants?	Adult 2 First Name Last Name Phone Number Email Address Line 1 Address Line 2 City State Zip Code	Adult 3 First Name Last Name Phone Number Email Address Line 1 Address Line 2 City State Zip Code
Adult 4 First Name Last Name Phone Number Email Address Line 1 Address Line 2 City State Zip Code	Adult 5 First Name Last Name Phone Number Email Address Line 1 Address Line 2 City State Zip Code

Girl 1 First Name Last Name Email Address Emergency Phone # School Name	Girl 2 First Name Last Name Email Address Emergency Phone # School Name	Girl 3 First Name Last Name Email Address Emergency Phone # School Name
Girl 4 First Name Last Name Email Address Emergency Phone # School Name	Girl 5 First Name Last Name Email Address Emergency Phone # School Name

Please understand that submitting an application for a scholarship does not register you for the conference. If you receive this scholarship, you will be notified by a GENaustin representative. Only then will you be registered for the conference.