Scholarship Application

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1 Price

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$50.00 – Fee

2 Participant Info

First Name *
Last Name *
Email *
Phone *
Title of retreat application is for *
Date of retreat *

3 Scholarship Criteria

Scholarships are evaluated according to the following three criteria:

• Serious or life-threatening medical problems causing financial hardship;

• Enrolled students without the resources to pay in full;

• Other serious financial need.

Please describe your situation for the committee as best you can in the space below.

Description of Financial Situation *

4 Security Check

Security check

5 Payment

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Donations	$0

Taxes	$0

50% Deposit	$0

Due Now	$0 $0

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