JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Scholarship Application Form
Please complete this form to apply for a scholarship Oren's Fall "Mindful Communication Foundations" Course, Monday nights beginning October 14, 2019.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
The low end of the sliding scale tuition for this retreat is $350. Scholarships range from $50-$150. What is the total amount are you able to pay?
*
(Please enter the total amount you can pay for this class)
Your answer
Participants are requested to attend the entire course, all six Mondays, 6:15 - 9:15pm, Oct 14 - Nov 18. Are you able to attend all 6 weeks?
*
Yes
No
Other:
Are you interested in work trade?
*
(If we are unable to offer you a scholarship for the total amount you are requesting)
Yes
No
If yes, what skills or experience are you able to offer?
(Check all that apply)
Set up and Break down at event
Administrative support (data entry, internet research, phone calls)
Audio transcription
Web development
Outreach and marketing
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
