Menahra 1st Regional Conference

MENAHRA 1st Regional Conference on Harm Reduction
Scholarship Application Form

Please provide this basic information:

Name:
Mailing Address:
Fax:
Telephone:
Email Address:
Organization (if any,):
Please answer the following questions. Provide us with as much information as possible to help with the selection of your application:
Are you applying for partial or full scholarship?
If you are applying for partial scholarship, which aspects do you need financial assistance with? How will you finance the other costs of your participation?
Why do you want to attend the conference?
How will you share with others what you learn at the conference?
How are you willing to share your life experience, project, activity at the conference?
Describe your current work, your involvement in Harm Reduction Activities?
What added value do you think your participation will bring to the conference?
Tell us what else you think we should know about you.