Scholarship Inquiry Form

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Scholarship Inquiry Form

This form is used to inquire about scholarship(s) for the Race, Church and Healing workshops. If you have questions, you are asked to reach out to Claire at claire@ccwtransformation.com.

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* Indicates required question

Your Name *

Your answer

Your phone # *

Your answer

Are you inquiring about a full or partial scholarship? *

Full ($100)

Partial (less than $100)

If you have chosen partial - How much are you inquiring about?

Your answer

Submit

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