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Scholarship Application 2019

2019 Application

Thank you for applying to be a Disability Ambassador scholar through WID and JPMorgan Chase's Conference Accessibility Initiative. This scholarship is for people with disabilities who are at least 18 years old and live in the United States of America. Diversity is important to us, so we encourage diverse applicants to apply.

We look forward to learning more about you. If you have questions, visit our Conference Accessibility Initiative webpage or reach out to us at conferenceaccess@wid.org
 
4. Please, select your gender. *This question is required.
5. Do you identify as LGBTQIA+? *This question is required.
6. Please, select your ethnicity/race. Check all that apply. *This question is required.
7. Please, select your age range. *This question is required.
9. Disability Ambassador Requirements:
  • A person with a disability who is willing to represent disability as it relates to the event (e.g. disability and civil rights; disability and community building etc.)
  • Someone willing to write and submit a blog about his/her experience at the event
  • Someone willing to be photographed at the event
  • Someone willing to engage in social media during the event
I understand my requirements as a Disability Ambassador. *This question is required.
10. Disability Ambassador Perks:
  • Paid event registration
  • Paid hotel
  • Paid travel to and from the event
  • Disability accommodations and support
Note: Disability Ambassadors’ perks do not include food (per diem) or daily travel during the event.

I understand my perks as a Disability Ambassador. *This question is required.
11. Responsibility Agreement:
All Disability Ambassadors agree to communicate in a timely manner with the World Institute on Disability staff in order to book their hotel and travel arrangements and complete their event registration. If a Disability Ambassador can no longer attend the event for any reason and his/her hotel and travel have already been booked, he/she agrees to pay 50% of all fees to the World Institute on Disability within 30 days.

I understand this agreement. *This question is required.
17. What disability do you have? Check all that apply. *This question is required.
What type of mobility aid do you use? *This question is required.
Do you use ASL? *This question is required.
18. What accessibility accommodation will you need for this event? Check all that apply. *This question is required.
Will your personal care attendant join you for the event? *This question is required.
19. Will you bring a service animal to the event? *This question is required.
20. How did you hear about this scholarship opportunity? *This question is required.
Note: The World Institute on Disability will do our best to meet all accommodation requests; however, there are times when we will not be able to match all accommodations and may have to work with the Disability Ambassador to find an acceptable alternative accommodation.