2021 Retreat Scholarship Application
To be considered for a full or partial retreat scholarship, please fill out the form below in its entirety. All applicants will receive a response in regards to their submitted information.

PLEASE NOTE: A limited number of scholarships are available to those who otherwise would be unable to attend. Scholarships apply directly toward weekend accommodations in a double-occupancy room and do not include transportation costs to/from the retreat site. There is a $25.00 non-refundable administration fee to be paid by each scholarship recipient.
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Email *
Date of Application: *
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Is  your request for a full or partial scholarship? *
What would you like to tell us about your scholarship request? *
Personal Information
Name: *
Street Address: *
City: *
State: *
Zip Code: *
Telephone: *
Church Home (if applicable). If not, please write "none" *
Have you communicated your desire to attend this retreat to leadership at your church? *
Please include the contact information below for (1) person who can verify your financial need:
Contact Name: *
Contact Telephone: *
We’re so grateful for your interest in attending “A Life After Breath Experience!” Our ministry board and retreat staff will prayerfully consider your request and respond within ten days of your application!
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