Training Institute Application

Thank you for your interest in attending the Impact Fund 2017 Class Action Training Institute. Please complete the application form below and then separately email your resume to Kellye Denson.

  • Submit your application and resume by Monday, July 31, 5pm Pacific.
  • Questions with * below indicate a required field, others are optional
Name *
Name
I am applying for the following Training Institute
Select one or both
Employer Address *
Employer Address
Work Phone Number *
Work Phone Number
My employer is a/an *
My employer is a California State Bar Qualified Legal Services Provider *
Please limit your response to 700 words or less.
I will require hotel accommodations *
I apply for financial assistance *
If YES, I have read, understood and agree to the Financial Assistance Guidelines at the bottom of this page
We strive to create a diverse group for the Training Institute and strongly encourage applicants from diverse backgrounds. The following information is optional, but appreciated.
We strive to create a diverse group for the Training Institute and strongly encourage applicants from diverse backgrounds. The following information is optional, but appreciated.
I identify as a person with a disability
We strive to create a diverse group for the Training Institute and strongly encourage applicants from diverse backgrounds. The following information is optional, but appreciated.

FINANCIAL ASSISTANCE GUIDELINES

The Impact Fund has a limited pool of funds to assist with hotel and travel costs for Institute attendees employed by nonprofit and legal services organizations. We provide financial assistance on a first-come, first-served basis, according to the order in which registrations are received.

The Impact Fund provides the following financial assistance:

      Hotel: We will book your hotel and pay room and tax only for up to 3 nights, shared with one other Institute attendee. You may request a private room and pay the difference in cost.

      Flight: We will reimburse air travel at the lowest available round-trip coach fare, up to $600.

      Mileage/Parking: If you are driving more than fifteen miles to attend the Institute, we will reimburse hotel parking and mileage to and from the Institute at a rate of $0.54 per mile.

We do not provide financial assistance for the following expenditures:

  • Registration fees
  • Airline baggage fees
  • Airline reservation change fees
  • Airport parking
  • Ground transportation to/from the airport
  • Car rental
  • Ground transportation during the conference
  • Hotel amenity fees (including wi-fi)
  • Food and drink outside of the Institute

Important Dates:

You will be notified of your financial assistance status once you are admitted to the Institute. Your acceptance package will include a Financial Assistance Reimbursement Form to be returned along with all applicable receipts no later than 30 days after the final day of your session. Reimbursement Forms received after that date will not be approved.

If you have any questions regarding the Impact Fund’s Financial Assistance Guidelines, please contact Kellye Denson.