2012 Scholarship Application

On-line Applications will be accepted for the 2012 Retreat from
September 1, 2011 until the January 14, 2012 deadline.

All applications are reviewed by the Scholarship Committee and awarded at their discretion.
A woman is eligible for only ONE scholarship - regardless of the number of years attended.
A scholarship is NOT transferable.
Please fill-in all the fields and submit the information. You will be contacted by the Scholarship Committee.

First Name: 

Last Name: 

Phone: 

Email Address: 

Confirm Your Email Address: 

Address: 

City: 

State: 

Zip Code: 

Please seat me with: 

My roommate will be: 

Type of Scholarship requested?:  Select from drop down Retreat Fee Only Lodging Fee Only Both Retreat/Lodging

Can you afford partial payment? 
Amount :

Church Home(optional): 

Reason for recommendation - include financial need for scholarship:

Recommended: