2023 California Cooperatives Conference Registration

Reduced Rate Scholarship Request

June 2-3, 2023

Mexican Heritage Plaza

1700 Alum Rock Avenue, San Jose, CA

We are excited to share information about cooperatives and want to help individuals and

organizations who cannot attend solely because of the registration fee. Scholarship funds are

distributed based on need, impact, and funds available, and are intended for co-ops, non-profits, community-based organizations and low-income individuals who are working to start a co-op.

Please submit this application ASAP as scholarship funds are limited.

If the application is approved, we will send you the registration details.

More information about the conference including workshops, speakers, registration, sponsorships, and membership can be found on our website: www.cccd.coop

Questions? Please contact us at coops@cccd.coop or 530-297-1032.

We are looking forward to cooperating with you at the conference!!

Your Contact Information

First Name

Last Name

Email Address

Phone

Your Co-op/Organization Information

Co-op/Org Name

Co-op/Org Email Address

Co-op/Org Phone

Co-op/Org Website

Co-op/Org Sector

Role in Co-op/Org

Scholarship Request Questions

Briefly state the financial reasons that are you requesting a scholarship for this event.

Why do you want to attend the CA Co-op Conference?

How will you share the information and skills you gain with your cooperative or community?

Do you live in a rural area?

YesNo

Scholarship Request

WE ENCOURAGE YOU TO PAY AS MUCH AS YOU CAN so that we can extend scholarships to as many people as possible. All fees include light breakfast, lunch, & snacks on each day. Applications will be assessed on need & availability of funds.

Full-Time students--- Please contact us regarding student rates.

Fees for the full conference range from $310 (for members) to $340 (for non-members).

Scholarship recipients must contribute a minimum amount, as listed below.

FULL Conference Minimum: $90 for CCCD members*, $120 for non-members
1 DAY ONLY Conference Minimum: $70 for CCCD members*, $95 for non-members

* If you are not already a CCCD member, SIGN UP at www.cccd.coop/membership

Please select which conference session you will be attending

Full Conference (June 2 AND June 3)Fri June 2 ONLYSat June 3 ONLY

AMOUNT YOU CAN PAY

Please select your meal preference

Meat okayVegetarianVeganGluten-free