Lily Gutierrez Memorial Scholarship Application

The scholarship will cover the full registration fee for CLINIC's annual Convening, taking place virtually on Monday, May 17 to Thursday, May 20 from 1-5 p.m. ET each day.

All scholarship requests must be submitted using this form and submitted by Friday, Jan. 29. The number of scholarships awarded will be determined by the number of requests received and available scholarship funds. If you are awarded a scholarship, we will contact you by Monday, Feb. 8.

Please note the following important information regarding eligibility for the scholarship:
  • Organizations must be a CLINIC affiliate to receive the scholarship.
  • Scholarships will be awarded to the organization (not the individual). If awarded the scholarship, the organization will receive (1) complimentary registration to be used for an individual in their organization.

For questions regarding Convening, the scholarship or the application, please contact



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