La Gira: Wayne County Scholarship Application

Contact info

First name *

Last name *

Email *

Phone number *

Home address *

Pronouns

Getting to know you

Do you identify as Hispanic or Latine? *

You do not need to identify as Latine to be eligible for this scholarship. We welcome all education leaders.

YesNo

Do you identify as any of the following?*

Select all that apply.

Hispanic or Latine (e.g. Mexican, Puerto Rican, Salvadoran, Cuban, Dominican, Guatemalan, etc.)Black, African American, Afro-Latino/a/x/e (e.g. Jamaican, Haitian, Nigerian, Ethiopian, Bahamian, etc. | people from the African diaspora)Indigenous, Native American, Alaskan Native (e.g. Cherokee, Navajo Nation, Mayan, Aztec, etc. | communities and people who maintain tribal affiliation from North and South America)Asian or Asian American (e.g. Chinese, Indian, Pakistani, Korean, Hmong, etc. | people from Southeast Asia and/or the Indian continent)Native Hawaiian or Other Pacific Islander (e.g. Samoan, Filipino, Palauan, Tahitian, etc.)Middle Eastern or North African (e.g. Palestinian, Egyptian, Sudanese, Moroccan, Turkish, Algerian, Syrian, Lebanese, etc.)WhiteNot listed (please self-describe below)

Current role(s) and organization(s) *

Please list your job title(s) and the organization(s) you work with.

Current leadership experience(s) *

Please list any leadership roles or experiences here.

Share your why

Tell us why you want to attend La Gira: Aquí Estamos in Wayne County *

What do you hope to learn, experience, or take back to your community? How might this opportunity support your leadership or advocacy in North Carolina? 1,250 characters or less.

0 / 1,250

Scholarship commitment and expectations

If selected as a scholarship recipient, you will be required to:

Attend the full La Gira experience on January 29, 2027 in Goldsboro, NC.
Attend a virtual training session to meet staff and prepare for your role.
Support LatinxEd's event operations by volunteering for up to two hours (tasks may include greeting, registration, notetaking, helping with set-up and clean-up, etc.).
Sign a media release form.
Share a testimonial with LatinxEd about your experience as a scholarship attendee.
Complete a post-event feedback survey to help us reflect and improve.
Maintain reliable contact with your point person for the duration of the La Gira experience.

Please note: any failure to commit to these responsibilities may result in denied access to La Gira for that year or a partial reimbursement of the ticket.

I agree to the scholarship terms and requirements listed above. *

Data protection and public recognition

At LatinxEd, we take great care in stewarding the information shared with us. Everything submitted through this form will be reviewed internally and kept confidential for the purposes of the selection process.

If you are selected as a scholarship recipient, LatinxEd may publicly share your name, story, and photo as part of our celebration and recognition efforts (including but not limited to social media, newsletters, and event materials). We'll reach out directly to all recipients before sharing any content publicly to ensure accuracy and respect their voice in how their story is told.

I understand and consent that if I am selected, my name, story, and photo may be shared publicly by LatinxEd to celebrate and uplift my leadership.*

Thank you so much for your application!

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