Scholarship Form

UNFORTUNATELY, WE ARE OUT OF SCHOLARSHIPS FOR THE 2010 FOOD SUMMIT.  We are sorry for any inconvenience this may cause and hope you can still attend. 

Interested in a scholarship? We don't want anyone to miss this wonderful event for monetary reasons. If you would like a scholarship, please fill out the following form. Scholarship recipients will be notified November 1 via email. Please DO NOT REGISTER until you have heard if you are a recipient. Once we notify you, you will be able to register. Special thanks to the Community Foundation of Greater Birmingham, Whole Foods Market, and the University of Alabama at Birmingham for providing scholarships.

Name: Email:
Address : Phone Number:
Anything else you would like to tell us?: Have you participated in a Community
Healthy Living Index (CHLI) group?:
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