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16th Annual Freedom Conference Scholarship Application
16th Annual Freedom Conference Scholarship Application
16th Annual Freedom Conference Scholarship Application
Scholarship deadline is Friday, June 14th. We will notify you of selections by Wednesday, July 3rd.
Applicant Information
Name
*
First
MI
Last
D.O.B.
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Phone
*
Email
*
Social Media Handles (Twitter, Facebook, Instagram, TikTok)
*
Background
College (if applicable)
Dates Attended
mm/yyyy - mm/yyyy
Major
Year in School
(Anticipated) Graduation Date
mm/yyyy
Company (if applicable)
Dates Employed
mm/yyyy - mm/yyyy
Position
Are you a citizen of the United States?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
References
Please list two professional references.
#1 Name
*
First
Last
Relationship
*
Company
*
Phone
*
Address
Email Address
*
#2 Name
*
First
Last
Relationship
*
Company
*
Phone
*
Email Address
*
Background Information
150-word limit per question
1. How did you hear about this opportunity?
*
2. Why do you want to attend Steamboat Institute’s Freedom Conference?
*
3. What do you look forward to gaining from attending the Freedom Conference?
*
4. How will you bring back what you learn at the Freedom Conference to add value to your communities?
*
Professional & Volunteer Experience
Company/Organization
Job Title/Position
Phone
Responsibilities
Company/Organization
Job Title/Position
Phone
Responsibilities
Company/Organization
Job Title/Position
Phone
Responsibilities
Short Response
250-word limit
In your experience, what do you believe to be the basic roles and responsibilities of government?
*
Video Submission
Please explain to the scholarship committee how you learned about the Steamboat Institute and the Freedom Conference Scholarship. Additionally, please describe a cause that you are passionate about and articulate why attending the Freedom Conference will empower you to take action. This does not need to be a high-quality production; cell phone videos are fine.
Video Link (videos should be 3-5 minutes in length)
*
Embed video link via Youtube, Vimeo, Dropbox, or other platform. Make sure that your video accessible our staff. If SI staff has to request access, access must be provided promptly.
Disclaimer
By applying I guarantee that I will arrive by 5pm MT on Thursday, August 22 and will say through the morning of Sunday, August 25
*
Yes
I certify that my answers are true and complete to the best of my knowledge.
*
Yes