NDBN Lobby Days 2024 Scholarship Application

First Name

Last Name

Job Title

Email Address

Phone Number

Member Organization

Member ID

City

State

What is your organization or program's annual revenue/income?

Have you or another member of your organization attended Lobby Days in the past?

YesNo

Have you or another member of your organization received a scholarship to attend Lobby Days in the past?

YesNo

Do you acknowledge that NDBN will book your hotel stay on your behalf?

YesNo

Dollar amount requested (up to $750):

Please describe your program’s involvement in advocacy to date and how receiving this scholarship would impact your advocacy efforts.