2017 ASAN Scholarship Application | Alabama Sustainable Agriculture Network

Scholarship application deadline is Monday, November 13, 2017. We will notify recipients within a week following the deadline. Please double check that you enter your phone number and email correctly, so we can contact you.

Your Information

Contact Information

First Name

Last Name

Business / Farm

Street Address

City

State

Zip Code

Phone

Email

What is your date of birth:

Gender:

Race/Ethnicity: (check all that apply)

White / European-American

Black / African-American

Latino / Latina / Latinx

Hispanic

Native American / Indigenous

Asian

Hawaiian / Pacific Islander

other

Application Questions

Activity

Why do you want to attend the Forum? How will attending the Forum improve your farm, project, and/or community?

If you are a farmer, please briefly describe your farm operation, including what you are producing, at what scale, using what methods, etc., and how you market your products. If you are not yet farming, please describe your farm experience and aspirations.

Scholarship Request

We have a limited budget for scholarships. If you're able to pay part of your own registration, it will enable us to stretch our dollars further and help more people attend the Forum.

Request

What kind of scholarship are you requesting?

Full - $80

Partial (please enter amount you can contribute below)

I can contribute the following amount towards my registration:

$

Shared lodging - $25/person/night:

Thursday Night

Friday Night

Saturday Night

Total Cost

I am requesting the following amount to help with lodging costs:

$

I can contribute the following amount towards my lodging costs:

$

Allergies or other dietary needs and preferences:

Is there anything else you want us to know?

Scholarships will be granted based on a combination of factors, accounting for need, potential food system development/benefit, and overall diversity (ethnicity/race, geographic, professional, and otherwise) of Forum participants.

If you have any questions, please contact alice@asanonline.org or 256-743-0742.

ASAN is committed to doing as much as we possibly can, with the resources we have. Scholarship applicants are also encouraged to explore other forms of potential community support: will your organization, business, faith community, or a local civic group sponsor you to attend, if you offer to share what you learn with the group when you return? Get creative!