First Name *

Last Name *

Email *

Phone *

Address 1 *

Address 2

State/Province * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Zip *

Request Type * Equity Rate Full Scholarship Partial Scholarship

Applying As * Student Classroom Educator Non-formal Educator Retiree Other

Affiliation (organization, school, etc.) *

Are you a part of a community historically excluded from the environmental education, outdoor education, conservation education field? WAEE is attempting to reach and serve communities that are historically excluded from the environmental education field. This data will help us improve our programming, services, and outreach to better serve these communities.

Can your organization afford the registration fee? Option 1 Option 2 Option 3

What percentage of communities with whom you primarily work are economically disadvantaged? More than 75% Between 50-75% Less than 50% Less than 25% Unknown

What percentage of the audiences you serve are from traditionally excluded communities? More than 75% Between 50-75% Less than 50% Less than 25% Unknown

Will this be your first WAEE Event? *

Have you previously received a scholarship from WAEE? *

What do you hope to gain from your time at the event? How will participating benefit your career and your environmental education practice? *

How much will it cost you to attend the event and what is the cause for your financial need? *

Request amount not to exceed actual costs. Note that sufficient funds for all applicants may not be available. Please enter a whole number amount. *