Scholarship Application

The Open Circle offers financial aid to those who are not in the position to afford the full cost of one on one sessions or retreats.

A scholarship will be granted based on financial need among other factors. The majority of scholarships will be partial scholarships with the attendee required to contribute financially.

Please fill out the application below to be considered.

Due to the volume of applications we will only be directly in contact with those selected for financial aid. Thank you!

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I'm applying for

I am able to pay for travel costs, if necessary (For Retreat)

Yes

I'm able to pay this amount (For Retreat)

I am able to pay a partial amount (For One on One Sessions)

Yes

I'm able to pay this amount (For One on One Sessions)

Why are you applying for a scholarship?

Have you ever attended one on one sessions before? With who?

Have you ever attended retreat before? Which one?

What do you hope to gain from sessions or retreat?

What else would you like us to know?