2024 Affirmation Mexico Conference Scholarship Application

Language

An anonymous donor provided Affirmation with funds to be used for scholarships to assist individuals traveling to and attending the 2024 Affirmation Mexico Conference.

You are encouraged to apply for this scholarship if travel costs or registration fees for the Affirmation Mexico Conference are a barrier to your attendance.

Applications to receive scholarships must be submitted by July 31st, 2024.

"*" indicates required fields

Status

Approved

Rejected

Your Contact Information and Preferences

First Name*

Last Name*

Email*

Enter Email Confirm Email

Preferred Language*

Phone

Mobile Phone

WhatsApp Number

Is it okay for Affirmation to send you emails?*

Yes

Is is okay for Affirmation to send you text messages?*

If yes, please be sure to provide your mobile number above.

Yes

Is it okay for Affirmation to publish your name online or in publications that recognize Affirmation Community Members?*

For example, the names of Sustaining Members may be published on the Affirmation website or in other publications.

Yes

Your Location and Mailing Address

The only required information in this section is your postal code and country. This information allows us to connect you to your local chapter. Permission to send mail and an address is required to receive membership cards.

Street Address

City*

State / Province*

Zip / Postal Code*

Country*

Is is okay for Affirmation to send you postal mail?*

If yes, please be sure to provide your complete mailing address above.

Yes

Scholarship Questionnaire

Will this be your first time attending the Affirmation Mexico Conference?*

Yes

Did you attend the Affirmation Mexico Conference in 2023?*

Yes

Is the cost of traveling to the Affirmation Mexico Conference a barrier that would prohibit you from attending this year?*

Yes

Please provide an estimate of the cost to travel to the Affirmation Mexico Conference this year.*

Note: This estimate should only include the cost of round-trip airfare or train tickets. The scholarship will not provide funds for taxis, rideshares like Uber or Life, lodging, or meals. Please provided the estimate in Mexican Pesos.

What percentage of the estimate provided would you need to receive as a scholarship in order to attend the Affirmation Mexico Conference this year?*

100% (Total)

75%

50%

25%

Are the registration fees for the Affirmation Mexico Conference a barrier that would prohibit you from attending this year?*

Yes

What percentage of the registration fees would you need to receive as a scholarship in order to attend the Affirmation Mexico Conference this year?*

100% (Total)

75%

50%

25%

Receiving Scholarship Funds

Will you be able to use a virtual credit card to pay for your travel costs?*

If you are selected to receive funds for your travel to the Affirmation Mexico Conference, a virtual credit card can be issued to you. This card can be used to purchase plane, train, or bus tickets online.

Yes

Hidden

Can you receive scholarship funds through Western Union?*

If you are selected to receive funds for your travel to the Affirmation Mexico Conference, funds can be transferred to you through Western Union to purchase plane, train, or bus tickets.

Yes

Hidden

Other Fund Transfer Options*

If you are unable to receive scholarship funds through a virtual credit card or Western Union transfer, please describe below the best way to transfer funds to you.

Legal Identification for Receiving Funds

It is important that the information below match exactly your legal identification. If the information provided below does not match your legal identification, you may not be able to receive scholarship funds.

First Name(s)*

First Last Name or Surname*

Second Surname*

City*

State*

Country*

Postal Code*

Your Responsibility for Receiving Funds

If you are selected for receiving scholarship funds and funds are distributed to you either through a virtual credit card or money transfer, you are obligated to adhere to Affirmation's Economic and Financial Policy. Specifically, you must agree to the terms below.

If you receive scholarship funds, will you only use these funds to the purpose of traveling to the Affirmation Mexico Conference?*

Yes

If you receive scholarship funds, will you provide receipts for all expenses made using the funds you received within 15 days of the expense?*

Yes

If you receive scholarship funds and do not use the funds for the purpose of traveling to the Affirmation Mexico Conference or do not provide receipts of all expenses made, will you return funds that are unused or unaccounted for?*

Yes

Disclosure to Donor

An anonymous donor has made these scholarships possible. In return for their donation, they have asked that Affirmation provide a report of the type of scholarships provided and the names of individuals receiving the scholarship. To receive a scholarship, you must agree to the term below.

If you receive scholarship funds, do you give permission to Affirmation to share the type of scholarship you receive and your name with the anonymous donor who funded the scholarship?*

Yes

Based on your answers above, you are unable to apply for this scholarship. Please review your answers to ensure that you have completed the application accurately.