2016 Oregon Independent Living Program Summer Events Youth Scholarship Application

Please fill out this form for yourself if you are a youth or for your youth if you are a supportive adult to attend an Independent Living summer event.

More about the 2016 Oregon Teen Conference

More about the 2016 Oregon Dream Conference (coming soon)

Please indicate which scholarship(s)/event(s) you would like to apply for.
Basic Information
Please enter your date of birth in the the following format: DD/MM/YYYY
Supportive Adult Information
ILP Agency (if enrolled)
DHS or Tribal Caseworker
Foster Parent or Guardian
Emergency Contact
Medical Information
Please take a photo or scan your medical card and upload it. If you need help with this step, you can skip this step for now and contact a supportive adult for help.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp pdf.
Logistics Information
Please download the rules and expectations.
Essay Section
Please tell us why you want to come to the events you wish to attend below. Include any questions you want answered, concerns you have with living on your own, or other important factors in your decision to join the event. Feel free to write as much as you like. You may want to compose your essay in a separate document that you can save and then cut and paste it in the space provided.