check

Momentum Scholarship Application

Thank you for taking the time to answer this. We want to make sure we are as inclusive and fair as we can be as we distribute discount and scholarship tickets.

If you can afford to purchase a ticket without a discount, please do so.

If you need a partial or full non-volunteer scholarship, please fill out the form below.

We will be reviewing applications daily as we approach the start date of the Mastermind.

You will receive an email copy of your submissions after you hit submit.

We anticipate this taking 5 minutes to complete. 

Click the button below to start.

Start

Question 1 of 9

The email you'd like to use for the course (it really helps me keep track of things if you just use one email!!):

Question 2 of 9

Due to financial hardship, I am requesting (based on the honor system):

A

A 25% off partial scholarship ticket (Ticket would be $75)

B

A 50% off partial scholarship ticket (Ticket would be $50)

C

A 75% off partial scholarship ticket (Ticket would be $25)

D

A full Scholarship ticket (Ticket would be $0)

Question 3 of 9

Because of the interactive nature of this mastermind (a lot of learning and networking happens in the class), if you are accepted for a partial or full scholarship, you understand the value your participation brings to the entire group and agree to attend most of the classes. (We don't require you to show up for every class, but please don't apply if you know you won't make most of the classes.

 

We have limited spots and would prefer to give scholarships to those who know they can attend.) Thanks in advance for being awesome about this!

A

I agree!

Question 4 of 9

If you'd be willing to share, how do you identify?

 

(We want to make sure we're reaching marginalized communities and having more diverse perspectives within the Mastermind benefits all of us)

(Select all that apply)
A

Black

B

White

C

Indian

D

Asian

E

Native American

F

Other

G

I'd rather not say

Question 5 of 9

How do you identify?

 

(Please note that Transwomen are women and Transmen are men. We include a Trans button because we want to monitor if we're reaching marginalized communities with our events. Having more diverse perspectives within the Mastermind benefits all of us. You may check more than one box. If you'd rather not answer, select "I'd rather not say".)

(Select all that apply)
A

Female-identified

B

Male-identified

C

Non-binary

D

Trans

E

Other

F

I'd rather not say

Question 6 of 9

How do you identify? 

(We want to make sure we're reaching marginalized communities and having more diverse perspectives within the Mastermind benefits all of us)

(Select all that apply)
A

Lesbian/Gay

B

Heterosexual

C

BiSexual

D

Queer

E

Asexual

F

Other

G

I'd rather not say

Question 7 of 9

Do you consider yourself disabled? 

 

(We want to make sure we're reaching marginalized communities and having more diverse perspectives within the Mastermind benefits all of us)

A

Yes

B

No

Question 8 of 9

Anything else you'd like to share?

Question 9 of 9

I understand I will be notified if my request for a partial or full scholarship ticket is approved based on availability. The organizers will do their best to accommodate as many people as they can.

A

I agree

Confirm and Submit