Form

ODSC West 2021 Scholarship Application

First name*

Last name*

Gender*

LinkedIn profile*

Organization (if applicable)

Degree (if applicable)

Graduation date (if applicable)

Your Ethnicity*

Email*

Which event are you interested in?

Why do you want to attend? (1 Paragraph)*

Name of the head of your department (if applicable)

Head of Your Department Contact (if applicable)

Put email / phone name, linkedin profile (pick one or few)

I have already purchased an ODSC ticket for the Conference that I am submitting this application for.*