Chrysalis Network Whole Circle Scholarship Application

A registration scholarship designed to support students, advocates, and prevention professionals who self-identify as belonging to neurodiverse or disability communities. In the spirit of “Nothing about us without us,” this scholarship was initiated by an Autistic advocate and survivor, and seeks to increase visibility and support for individuals from these marginalized communities who work to end violence in all of its forms. Applications are due by November 29th, with notifications made by December 1. Please note, if you apply and do not receive the scholarship, we will offer you the early registration rate.

All applications will be reviewed by a panel of professionals in the field who identify as autistic and/or part of the disability community.

Name(Required)

First Last

Email(Required)

Have you attended the Puzzles conference before?(Required)

Yes

No

Other

Campus/Organization(Required)

Position/Title(Required)

City/State(Required)

Please explain why you would like to attend the Puzzles conference (200 words or less):(Required)

Please explain why you need financial assistance (200 words or less):(Required)

Please describe how attendance at Puzzles will benefit you and your campus/organization and community:(Required)

What else would you like to share with us?

For More Information:

Juliette Grimmett
juliette@chrysalisnetwork.com
(919) 624-9575