Faith-Based Leader Scholarship Application

(Free registration and $100 Visa card, Faith Leaders from outside of DC, MD, VA MAY be eligible for $200, funds permitting)


Event is November 22, 2019, 8 AM to 5 PM, Howard University
Please complete form by November 1, 2019.
1.Name
2.Email
3.Phone
4.Religion/Denomination
5.Place of Worship and Location (City/State)
6.Title or Role
7.Reason for Attending