Personal Information First Name * Middle Name Last Name * Email Address * Phone Number Street Address * City * State/Province * If you are from Minnesota or Wisconsin, your funding comes from the Ralph K Morris Foundation, and your contact information will be shared with them so they can inform you of other opportunities in the region. If you have concerns about this, contact institute@nasco.coop. Postal Code * Co-op Connection Are you a member of a co-op or organization that is a member of NASCO? * Yes No Please note that we are collecting this information for reporting purposes, but it will not determine whether a scholarship is awarded. Please select your co-op from this list: - None -Acorn Housing CoopBerkeley Student Cooperative (BSC)Bitternut HomesteadBloomington Cooperative Living (BCL)Boulder Housing CoalitionCentral Pennsylvania Community Housing (Houseasaurus)Cleveland Student Housing Association (Steiner House)Community Housing Expansion of Austin (CHEA)Community of Urbana Cooperative HousingElla Jo Baker Intentional Community CooperativeFireplace CommunityGotham DetroitHeathcote CommunityHorizontal HousingHouston Access to Urban Sustainability Project (HAUS)ICC Ann ArborKalamazoo Collective Housing (KCH)Madison Community CooperativeNew Culture Co-opNickel City Housing Co-opPeople's Owned and Operated Collective Housing (POOCH)Queen City CooperativeQumbya Housing CooperativeRed Clover CollectiveRejenerate Housing CooperativeRiver City Housing Collective (RCHC)Sherwood CoöperativeSolar System CooperativeStewart Little CoopStone Soup CooperativeStudents Cooperative Organization (SCO)Students' CooperativeStudents' Cooperative Association (SCA)Valley Housing Co-opWaterloo Cooperative Residence Inc. (WCRI)York Non-Profit Housing Society Cooperative What co-op/organization are you affiliated with, if not a NASCO member Is your co-op * Urban Suburban Rural Are other members of your cooperative attending Institute this year * Yes No I don't know Have you attended NASCO Institute before? * Yes No Financial Information Are you a student? * Yes No Do you have any dependents? * Yes No How many dependents do you have? What is your annual income before taxes (in US dollars)? * $ Do you receive regular financial support from other sources, not reported in your annual income? I.e. Do your parents or someone else support your rent, food, tuition, health insurance, etc. * Yes No If yes, please explain Are there other financial considerations that we should be aware of? Are you anticipating any other financial barriers to attending an in-person conference? If so, please explain and estimate the associated cost. Request Info Are you receiving support from your co-op (or have you applied for support from your co-op?) What kind of support? * How much in $USD are you able to contribute to your NASCO Institute registration and travel costs? * $ How much in $USD are you requesting in order to attend NASCO Institute? * $ Do you think you will use your scholarship for registration, travel, housing, or a combination? * Registration Travel Housing Combination of those options I don't know yet We have limited solidarity housing available, assigned based on the date when you actually register. Solidarity housing is mostly on couches and floors at local co-ops. How would you like to receive your funds, if you are awarded a scholarship? * By check, given to you at Institute By Paypal To your co-op directly Not sure yet / it depends What is the name we should make a check out to? What email address should we send Paypal funds to? Marginalized Identities Do you identify as a member of any of the following identity groups? Black? * Yes No Black Co-opers are eligible for funding out of our Black Equity Scholarship fund regardless of income Person of Color? * Yes No Person with Disabilities? * Yes No LGBTQIA2S+? * Yes No International Student (studying outside of your home country)? * Yes No Is there additional information about your identity you would like to share for this application? Short Response Prompts In 300-500 words, explain your interest in NASCO Institute, what you hope to learn, and how you plan to share with your cooperative. Please note that your response to this question is a major factor in determining recipients. * Is there any information that you would like to share with us that wasn't covered in the application? Co-op Development Are you starting a co-op or expanding a currently existing co-op? * Yes No What type of co-op are you starting/expanding? How many members will you serve? Who is leading this project? What is your role? What is the next big step? Scholarship Info If you are awarded a scholarship, we will contact you by email, and you will need to confirm that you are accepting the scholarship (the email will have instructions on this). * I understand If you are using your funds towards registration, we will apply your scholarship directly and invoice you for any remaining amount. If your co-op has already paid for your registration, we will refund them directly. If you are using your funds for travel or housing, we will provide your funds at Institute. * I understand You should register as soon as you are able to. The registration deadline is November 7th. Please note: there are no refunds for cancellations after October 26th. * I understand If you decide not to attend, notify us as soon as possible. We receive many applications for funding. If you will not be attending, we will be able to use funds for another participant. Your scholarship cannot be transferred to another member of your co-op. * I understand We have limited solidarity housing, mostly on couches and floors at local co-ops. Housing is assigned based on the date that you register, so if you will need solidarity housing, you should register as soon as you know you will be able to attend. * I understand I agree to all of these conditions. * Yes Leave this field blank Submit
