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Scholarship Request Form for CRSW Bootcamp for Peer Assisted Recovery
Scholarship Request for CRSW Bootcamp for Peer Assisted Recovery
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Email
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Your email
Date of Application (mm/dd/yyyy)
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Your answer
First and Last Name
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Your answer
Address: Include full address including, street, city, state and zip
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Your answer
Are you willing to volunteer at SOS for at least 25 hours over the next 90 days?
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Yes
No
Are you currently a SOS member?
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Yes
No
Do you have any limitations
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Yes
No
Do you have reliable transportation for class?
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Yes
No
Which do you consider yourself? (check off all that apply)
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A person in Recovery
A Family Member of someone in Recovery
An ally of recovery
Other
Required
Although we are open and willing to discuss, we highly recommend at least 6 months of recovery before applying for a scholarship. If you identify as a person in recovery are you currently sustaining over 6 months of personal recovery?
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Yes
No
N/A
Why do you want to take these 5 classes?
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Your answer
How do you plan to use the information you learn in the class?
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Your answer
What are your personal and professional goals?
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Your answer
The Cost of this bootcamp is $550 and the lowest cost scholarship is $80 per person. Please put the price you are able to pay below that you are asking us to consider for Scholarship. Minimum amount is $80.
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Your answer
Please note that upon approval of this scholarship request you will be required to register for the class on eventbrite and pay a minimum fee within 7 days via credit card, debit card or deliver a check/cash to a SOS center. Will you be able to?
Yes
No
Other:
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Telephone Number to reach you at:
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Your answer
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