2025 Scholars Acceptance Form — The Judge Frank M. Johnson, Jr. Institute

We are excited to have you join us in Montgomery, AL!

By successfully completing this form and paying the refundable deposit, you are confirming your seat at the 2025 Scholars Conference and ensuring you will attend the entire conference including offsite dinners.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Checkbox

How do you intend to travel to Montgomery, AL?

Fly

Vehicle

Do you anticipate needing lodging?

Monday, June 23rd

Tuesday, June 24th

Wednesday, June 25th

Do you anticipate needing travel assistance, not including lodging, as we determine applications?

Please note, while we cannot guarantee additional travel assistance apart from lodging, we take into consideration each request and assist on a case by case basis. Additionally, any additional travel assistance will be reimbursed upon the completion of the three-day conference.

Yes

No

Please list any dietary restrictions

I agree to pay the Registration Fee of $50. Please note, registration fee will be refunded in the stipend awarded upon the completion of the three-day conference. If an attendee fails to confirm conference or does not attend the conference, the registration fee will be considered a donation to the Judge Johnson Institute. Link to pay will appear immediately upon submitting this form.

Yes

No

We are excited to have you join us in Montgomery, AL!

Contributions made are tax-deductible.