Financial Assistance Request

We do not want cost to be a barrier to your participation. A limited amount of financial assistance is available to support registration, lodging, and/or travel expenses. Because available funds are limited, we ask that you provide the information below to help us allocate resources as equitably as possible.

Please reach out to ShapingSRH@afl-enterprises.com for any further questions.

Financial Assistance Request

First name

Last name

Phone

Organization

1. What are you hoping to gain from attending the convening?

Please share how attending would benefit your organization, community, or work related to family planning and sexual and reproductive health in Colorado.

2. What financial assistance are you requesting?

Registration fee assistance ($100)

Hotel/lodging assistance

Travel assistance (mileage, airfare, ground transportation, etc.)

Other

Please select all that apply.

3. Please describe the support you would need to attend.

We recognize that each individual's circumstances are different. Please share any information that would help us understand what assistance is needed to make your participation possible.

4. What is the estimated amount of support needed? (In USD)

5. If partial assistance is available, would you still be able to attend?

Yes

Maybe

6. Is there anything else you would like us to consider as we review your request?

Please note: Financial assistance funds are limited and may not cover the full cost of attendance. Requests will be reviewed with the goal of ensuring broad and equitable participation from communities and organizations across Colorado.

Financial Assistance Request

Financial Assistance Request

Contact AFL