Proctor Scholarship Application and Registration

Applicant Information

Please provide your full legal name, as we may need this for travel booking purposes.



















Scholarship Application Questions







It is recommended that you draft the answers to the questions in another program (such as Microsoft Word) and then paste your responses into the fields below.



Submitting a scholarship application does not guarantee that you will be granted a scholarship. On this page we are collecting details about your travel, accommodations, and workshop selections to have in the event that you are selected as a scholarship recipient.

Travel and Accommodations









Event Registration




Workshop Selections






Event  Waiver and Agreements



Please initial the following as a sign of your understanding and commitment for participation if selected to receive scholarship assistance to attend the 2019 Proctor Institute: