Briefly describe your current involvement with DignityUSA, and/or a local Chapter and/or a DignityUSA Caucus.
Describe your reasons for wanting to attend this conference.
How do you believe attending the conference will positively affect your involvement in DignityUSA and/or a Chapter or Caucus?
How do you see yourself giving back to DignityUSA and/or a Chapter or Caucus?
Is there anything else we should know about you in considering your application?