2016 Oregon Independent Living Program Summer Events Adult Scholarship Application

Please fill out this form if you are an adult or chaperone attending an Independent Living Program summer event.

More about the 2016 Oregon Teen Conference

More about the 2016 Oregon Dream Conference (coming soon.)

Events/Scholarships
Please indicate which scholarship(s)/event(s) you would like to apply for.
Basic Information
Supportive Role
A background check is required prior to attending Oregon Teen Conference or Oregon Dream Conference.
Medical Information
Emergency Contact
Transportation
Youth
For the 2016 Oregon Teen Conference: Please list the names of all youth you have registered along with their social security numbers.
For the 2016 Oregon Dream Conference: Please list the names of all youth you have registered along with their social security numbers.