Scholarship Application

Connections in Prevention Scholarship Information

Prevention First is happy to provide limited scholarships to cover the registration cost (travel not included). Scholarship recipients can choose either an in-person or virtual registration.

Requirements to apply for a scholarship are:

Applicant must work for a non-profit organization.
The organization or grant program must have an annual operational budget of $250,000 or less.

Only one scholarship winner per agency. Be sure to apply today!

Please complete the application below. When finished, please click SUBMIT.

Name

Position/Title

Email Address

Phone Number

Organization/Agency Name

Organization/Agency Website

Total Annual Organization/Agency Operating Budget

Registration Type (Choose One) In-Person
Virtual

Please share why you want to attend the Connections in Prevention Conference.

How does the conference align with your personal, academic, or professional goals?

How you will use what you learn at the conference in your work or your community?

How will attending the conference benefit your community, organization, or peers?

By entering your name below, you attest that, if awarded the scholarship, you will attend all keynote and workshop sessions offered during the conference. You also understand that the cancellation deadline is October 2, 2025. Any cancellations after that date, or in the event of a no-show, your organization will be billed the full cost of a conference registration ($400).

Applicant's First and Last Name

Supervisor's Name

Supervisor's Email Address

Supervisor's Phone Number