2019 Bioneers Conference Indigenous Youth Group Scholarship Application

Bioneers offers a limited amount of Indigenous Youth and Chaperone scholarships. The scholarships cover passes for the 3-day conference, and a healthy lunch each day. Scholarships do not covered travel, lodging, or other expenses incurred as a result of attending the conference. You will be notified of your acceptance within two weeks of applying, or by September 15, 2019 with further information about how to register for the conference.
Group name/organization/institution:*
Address*
City*
State/Province*
Zip/Postal Code*
Country
Chaperone Contact First Name*
Chaperone Contact Last Name*
Email*
Phone Number*
Birth Date*
Please list your group member names and corresponding tribal affiliation(s)" i.e. Cara Romero (Chemehuevi)*
Number of Youth*
Number of Chaperones (Recommended 1:10 minimum and 1:5 max)*
Chaperone One: Name, Age and Tribal Affiliation
Chaperone Two: Name, Age and Tribal Affiliation
Attendee One: Name, Age and Tribal Affiliation
Attendee Two: Name, Age and Tribal Affiliation
Attendee Three: Name, Age and Tribal Affiliation
Attendee Four: Name, Age and Tribal Affiliation
Attendee Five: Name, Age and Tribal Affiliation
Attendee Six: Name, Age and Tribal Affiliation
Attendee Seven: Name, Age and Tribal Affiliation
Attendee Eight: Name, Age and Tribal Affiliation
Attendee Nine: Name, Age and Tribal Affiliation
Attendee Ten: Name, Age and Tribal Affiliation
Has your group attended Bioneers before?*
No* Yes*
Why does your group want to be a scholarship recipient? (500 words max)*
Will your group be camping?*
No* Yes*
Does your group require any special support? If so, please explain: (500 words max)*

Bioneers offers a limited amount of Indigenous Youth and Chaperone scholarships. The scholarships cover passes for the 3-day conference, and a healthy lunch each day. Scholarships do not covered travel, lodging, or other expenses incurred as a result of attending the conference. You will be notified of your acceptance within two weeks of applying, or by September 15, 2019 with further information about how to register for the conference.
Group name/organization/institution:
Address
City
State/Province
Zip/Postal Code
Country
Chaperone Contact First Name
Chaperone Contact Last Name
Email
Phone Number
Birth Date
Please list your group member names and corresponding tribal affiliation(s)" i.e. Cara Romero (Chemehuevi)
Number of Youth
Number of Chaperones (Recommended 1:10 minimum and 1:5 max)
Chaperone One: Name, Age and Tribal Affiliation
Chaperone Two: Name, Age and Tribal Affiliation
Attendee One: Name, Age and Tribal Affiliation
Attendee Two: Name, Age and Tribal Affiliation
Attendee Three: Name, Age and Tribal Affiliation
Attendee Four: Name, Age and Tribal Affiliation
Attendee Five: Name, Age and Tribal Affiliation
Attendee Six: Name, Age and Tribal Affiliation
Attendee Seven: Name, Age and Tribal Affiliation
Attendee Eight: Name, Age and Tribal Affiliation
Attendee Nine: Name, Age and Tribal Affiliation
Attendee Ten: Name, Age and Tribal Affiliation
Has your group attended Bioneers before?
Why does your group want to be a scholarship recipient? (500 words max)
Will your group be camping?
Does your group require any special support? If so, please explain: (500 words max)

Fields marked with an asterisk (*) are required.