Wikimania Scholarships app/Application text

Proposed text and questions for the 2014 Wikimania Scholarship application. Edits being made on meta: https://meta.wikimedia.org/wiki/Wikimania/Scholarships/Application

Application Form

This is the application for sponsorship to attend Wikimania 2013, Wikimedia's international conference. Awardees will receive a scholarship to pay for registration, hotel, and roundtrip travel to Wikimania in Hong Kong, 7–11 August 2013.

This is not a scholarship for university study. Applications not obviously related to the conference will be discarded.

Applicants: please carefully consider your financial need, that there are limited funds available for sponsorship to attend Wikimania, and that many applicants do not have the financial means to attend Wikimania without this opportunity. Thank you.

The deadline to apply is February 22, 2013, 23:59 UTC.

Required field *

Contact information

First (given) Name: * <text input>

Last Name (surname): * <text input>

Email address: * <text input>

Telephone number (include country code): <text input>

Mailing address: <multi-line text input>

Country of residence: * <select list of ISO countries>

Personal information

Do you have a current passport? <yes/no>

Nationality (Who has issued/will issue your passport?): * <select list of ISO countries>

Closest international airport: <text input>

Native language(s): <text input>

Date of birth: <select day><select month><select year>

Gender: * <select Male|Female|Transgender|Decline to State>

Occupation (if professional): <text input>

Field of study (if student): <text input>

Participation in the Wikimedia projects

Username on your primary Wikimedia project: <text input>

Primary Wikimedia project (Wikipedia, Wikimedia Commons, etc.): <text input>

In the space below, please explain the extent and nature of your participation in the Wikimedia projects (Are you a chapter member? An administrator? A longtime editor? An editor on featured articles? A frequent contributor of high quality images? Etc.) * <multi-line text input>

In the space below, please explain the extent and nature of your participation in other free knowledge, free software, collaborative and/or educational initiatives other than the Wikimedia projects. * <multi-line text input>

Hong Kong is an international gourmet paradise. Please use less than 200 words to describe your favourite dish of food. * <multi-line text input>

Interest and involvement in Wikimania

Have you attended Wikimania before? If so, in what year or years?

2005
2006
2007
2008
2009
2010
2011
2012
2013

I have or will submit a presentation for Wikimania 2013 (Call for Participation) <yes/no>

If you have or will submit a presentation, please provide a link to your presentation or proposal title: <text input; required if prior answer is "yes">

How did you hear about this opportunity? <select mailing list|Wikimedia website|Village pump|Word of mouth|Other>

In the space below, please state why are you interested in attending Wikimania? * <multi-line text input>

Partial scholarships

In addition to the full scholarship option, this year a limited number of partial scholarships are also available to subsidize up to 50% of the estimated air fare from your nearest international airport according to Getting to Hong Kong.

Would you like to be considered for the partial scholarship option? <yes/no>

If I am awarded and accept the partial scholarship, I will pay the remaining amount in order to attend Wikimania 2013. <yes/no>

Application agreement

If I am awarded and accept the partial scholarship, I will pay the remaining amount in order to attend Wikimania 2013.
If I am awarded and accept a grant, I will be responsible for obtaining a travel visa, if necessary, prior to travel (please see visa requirements for travel to the Hong Kong).
If I am awarded and accept a grant, I will be responsible for the cost of airport transfer, incidentals, and meals during the conference.
If I am awarded and accept a grant, I agree to either a) use the travel booking service recommended by the Wikimedia Foundation, and paid for directly by the Wikimedia Foundation; or b) book my own travel at or below the cost estimate provided by the Wikimedia Foundation, and provide a receipt to the Wikimedia Foundation in order to be reimbursed for the exact cost.

Privacy

All information contained in this application will be reviewed by the members of the Wikimania Scholarship Committee. All personal information will be held strictly confidential by the Committee, the Wikimedia Foundation, and Wikimedia Hong Kong.

I would like to be considered for a Wikimedia chapter scholarship, and agree to share my information with chapters for purpose of selecting and awarding scholarships. <yes/no>

Applicant Rights & Consent to Data Processing and Transfer

I as an applicant for a Wikimedia Foundation ('WMF') scholarship relating to my participation in the 2013 Wikimania conference hosted in Hong Kong, hereby acknowledge and affirmatively consent to the following as a prerequisite to the consideration of my 2013 Wikimania scholarship application ('Application'):

(a) Any personal data or sensitive personal data that I submit as part of or in relation to my Application (collectively 'my Data') may be accessed and reviewed by (i) WMF; (ii) official Wikimedia Chapters, a representative list of which can be found at: http://meta.wikimedia.org/wiki/Wikimedia_chapters ('WM Chapters'); and (iii) members of a scholarship committee made up of Wikimedia movement members, a representative list of which can be found at: https://wikimania2013.wikimedia.org/wiki/Scholarship_committee ('Scholarship Committee'), for the purposes of evaluating my Application.

(b) Any Data that I submit as a part of or in relation to my Application may be collected, stored, used, modified, communicated, archived, destroyed, or otherwise processed (collectively 'Processed' or 'Processing') by WMF, WM Chapters, Wikimedia CH ('WMCH'), and members of the Scholarship Committee. My Data may be retained by WMF, WM Chapters, and/or WMCH until I request in writing to WMF that my Data be destroyed or for as long as required by applicable law.

(c) My Data may be transmitted to or from WMF in the United States, WMCH in Switzerland, members of the Scholarship Committee in the country which they reside, and/or WM Chapters in the country which the chapter is based.

(d) The Data that I have submitted is true and accurate to the best of my knowledge. However, if any of my Data is inaccurate, I understand that I may request that my Data be corrected by emailing wikimania-scholarships@wikimedia.org.

(e) I understand that I may ask WMF if my Data is being Processed and may request that WMF provide information about: what of my Data WMF currently holds; the purpose of Processing my Data; the categories of my Processed Data; who the individuals involved in Processing my Data are; and who the individuals who are designated to receive my Data are. I understand that I can request any of the information enumerated in this section by emailing wikimania-scholarships@wikimedia.org.

Please enter your full name: * <text input>

I agree the statement of 'Applicant Rights & Consent to Data Processing and Transfer'.