Scholarship Application for NCADV's and NOMAS' 2012 Conference: Preserving Our Roots While Looking to the Future

Deadline for Applications: June 1st, 2012

The National Coalition Against Domestic Violence (NCADV) is currently offering 100 registration scholarships to battered or formerly battered women for NCADV's and NOMAS' Conference on Domestic Violence: Preserving Our Roots While Looking to the Future, July 21st through 25th, 2012 in Denver, CO.

General Information

Scholarships cover the costs of registration fees only. If you are selected to receive a scholarship, please know you will be responsible for financing your own transportation, accommodations, meals and other expenses for the conference.

Only women who self-identify as battered or formerly battered and are in financial need are eligible to apply for the scholarships. The scholarships are granted on an individual basis only and will not be granted to an organization. Scholarships are not transferable to another individual.

While we understand and abhor the traumatic effects of child witnessing of domestic violence, unfortunately, we are limited by the number we can award. Therefore, we must restrict these scholarships only to survivors of domestic violence in current or past romantic relationships.

If you are eligible, please complete the following application.

Applications will be accepted until June 1st, 2012 and selections will be made on a first-come, first-served basis. If you are selected, you will be asked to verify your acceptance of the scholarship by a specified deadline which NCADV will provide you. If you do not accept the scholarship by the deadline given to you, your application will be forfeited and you will be placed on the scholarship waiting list.

Please note: there is no way to save your information and return to this form, therefore, we suggest you complete it at one time to avoid losing information.

Thank you,


Applicant Information

Please provide us with the most reliable way to contact you. Your information will be kept confidential. NCADV prefers e-mail communication; however, if you do not have an e-mail address or access to a computer, we will be happy to communicate with you by phone. Please call Sylvia Baca at (303) 839-1852 x 104.


Best way to reach you *
Name *


Address *
City *
State *
Zip *
Phone *
Email *
With which caucuses do you identify? *
 Battered/Formerly Battered Women  
  Rural Women  
  Child/Youth Advocate  
  Women of Color  
  Rainbow Pride  
  Queer People of Color  
  Jewish Women  
List other marginalized group
Why would you like to come? How will you use info? *
How do you (or will you) apply your experiences with domestic violence within your own community? *
Explain your experience with domestic violence (romantic connections only) *
Image Verification
Please enter the text from the image:
[Refresh Image] [What's This?]