Quantum Leaps Application

Name

First Last

Email

Describe the purpose of your conference:

Who will be attending your conference?

Date of conference:

Location of conference:

Outline your agenda for your conference:

What do you hope to achieve with your conference?

Who is organizing this conference?

Please share your agenda (a rough or draft version is okay):

What kind of topics will you be covering?

How will you use this $500 funding?

Should you receive a $500 Quantum Leaps Grant, do you agree to put the SCWIST logo on your conference materials, and a note that the conference was sponsored by SCWIST?*

Yes
No

Logos and exact wording will be shared when you receive confirmation that you have been selected for a grant.

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