Thank you for your interest in attending the DignityUSA convention. We will review applications as soon as possible after April 1, 2017, and hope to notify applicants by April 30, 2017. Applications will be accepted on a rolling basis, but priority is given to those received by March 31, 2017.
If you prefer, you can download the application form and mail it to DignityUSA. Required fields are marked with a *
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?