Family Convention Scholarship Application

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Convention information:
- The convention will be held in Charlotte, North Carolina.
- Convention begins Thursday, July 10th at 1:00pm.
- Convention ends Saturday, July 12th. Workshops end at 5:00pm followed by a banquet dinner, dancing, and karaoke (until around 11pm). Most people depart Sunday after a complimentary breakfast/brunch where new Friends can say goodbye and "See you next year!"
- Please note: A parent or caregiver must attend the convention with children under age 18.
Deadline to submit application: April 15, 2025

Please email any questions to scholarships@friendswhostutter.org
Please select one*
- I am applying as a family
- I am applying as an adult who stutters
- I am applying as an SLP
Information about person who stutters
Name*
First Last
Date of Birth*
Month
Day
Year
Gender*
Please tell us a little bit about the child who stutters. Have they participated in stuttering support before? How do they currently feel about stuttering?
If the child is currently receiving speech therapy, please provide information about the speech therapist.
Name
First Last
Phone
Email
Your information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Best way to contact you*
Amount you can afford to pay**
*Excludes travel costs
Have you attended a Friends convention before?*
- Yes
- No
Have you received a Friends scholarship before?*
- Yes
- No
Who will be attending? (Include yourself if attending. Click on the plus sign to add more attendees.)
Information*
Age: Please provide the age the child will be at the time of the convention.
Status: Young person who stutters (YPWS); Adult who stutters (AWS); Parent (P); Sibling (S); Friend/Relative (F); Speech-Language Pathologist (SLP), Significant Other (SO)
Child info: Let us know a little about any additional children not listed above.
First Name Last Name Pronouns Age (if under 18) Status Child info
Please tell us why you want to come to the convention. Why do you think it will be beneficial? What do you hope to gain?*
How did you learn that financial assistance may be available?*
Date
MM slash DD slash YYYY

Convention information:

Information about person who stutters

If the child is currently receiving speech therapy, please provide information about the speech therapist.

Your information

Who will be attending? (Include yourself if attending. Click on the plus sign to add more attendees.)

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First Name	Last Name	Pronouns	Age (if under 18)	Status	Child info