2024 NextGEN Retreat Scholarship Application
Please fill out this Scholarship Application Form and click submit.
Scholarships are NOT guaranteed.
You will be notified ASAP if you have been award a scholarship.
If you are not awarded a scholarship you will be refunded the $100 application fee.
If you have any questions please feel free to email us at NextGENRetreat@gmail.com.
Contact Information
First and Last Name
*
DOB
*
Pronouns
*
Please select one option.
She/Her
She/They
He/Him
He/They
They/Them
Prefer Not to Say
Not on This List
Select Option
She/Her
She/They
He/Him
He/They
They/Them
Prefer Not to Say
Not on This List
If you do not see your pronouns in the list above, please let us know what they are here
Email
*
This address will receive a confirmation email
Mobile Phone
*
Address
*
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Getting to know YOU!
Are you affiliated with any spiritual center or church?
*
How did you hear about this retreat?
Have you attended a NextGEN retreat before?
*
Please select one option.
Yes
No
What do you hope to experience at NextGEN Retreat?
*
Why do you feel called to attend the NextGEN Retreat? What will it bring to your life?
*
Scholarship Questions
In exchange for a scholarship, we ask participants if they are willing to volunteer as needed. Are you willing to volunteer?
*
Please select all that apply.
Yes, before, during, and after the retreat
Yes, during the retreat only
No
Do you have any special gifts, talents, or abilities you would like to share specifically?
*
Terms and Conditions
I understand and agree that there is a $100 scholarship application fee that is refundable if I am not awarded a scholarship. I am able to apply this fee towards a registration if I would like, and the fee is non-refundable if I am awarded a scholarship.
*
Please select all that apply.
I accept the Terms and Conditions.
Payment
Scholarship ($100)
Admin - Reference Code 513 ($0)
Admin - Reference Code - 88
Scholarship ($100)
Admin - Reference Code 513 ($0)
Admin - Reference Code - 88
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please fill out this Scholarship Application Form and click submit.
Scholarships are NOT guaranteed.
You will be notified ASAP if you have been award a scholarship.
If you are not awarded a scholarship you will be refunded the $100 application fee.
If you have any questions please feel free to email us at NextGENRetreat@gmail.com.
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