2025 Nonprofit Leadership Conference Scholarship Application

Please complete this application by July 31 to be considered for one of the 10 FREE conference registrations to be awarded for the 2025 Nonprofit Leadership Conference. This needs-based scholarship program is sponsored by Great Southern Bank. We will notify scholarship recipients of their selection in early August. If you are selected and have already purchased a ticket, we will refund you the ticket price. We will consider awarding up to two free tickets to members of the same organization.

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Organization Information

Organization Name *

Organization Website / URL (if available)

Organization Mailing Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Tax Status *

• 501(c)(3)
• Other
• Not a registered nonprofit

Other (please specify your specific tax status) *

Mission of Your Organization *

What does your organization do and who does it serve?

What geographic area does your organization serve? *

What service sector best describes your organization? *

• Human Services
• Arts and Culture
• Health Care
• Education
• Mental Health
• Housing
• Youth
• Animals
• Religious
• Other:

Please specify. *

Applicant Contact Information

Name of Primary Contact Person and Organizational/Professional Title *

Email *

Phone *

If requesting a second ticket for a colleague, provide the person’s name, organizational title, email address, and phone number.

this Address Information

Scholarship Justification

Briefly describe your organization’s financial needs with regards to professional development and how the scholarship would make a difference. *

How will attending the conference benefit your organization and its mission? *

Has your organization received a scholarship to attend this conference in the past? *

• Yes
• No

Which year(s) did you receive a scholarship? *

Final Notes: Is there anything else you’d like the selection committee to know?

Submit