Scholarship Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Participants who would like to join the course but are facing financial challenges and difficulties can opt for one of a limited number of scholarship options. They will be able to access the course at a greatly reduced price. Accommodation will be in a camping tent rather than a cabin.

Email *

First and Last Name *

Which retreat are you applying for a scholarship towards? *

Provide the name and dates of the specific retreat you're interested in applying for a scholarship towards.

Please tell us about your motivation for joining the retreat. *

Describe the nature of your difficult financial situation.
*

We are committed to fostering a diverse and inclusive community. Priority goes to those who are less likely to afford retreat pricing or those who may not have the opportunity to take part in these types of experiences.

Besides being LGBTQIA+, if you identify as part of a historically marginalized or underrepresented group (such as BIPOC, differently abled, or another underserved community), and feel comfortable sharing, please let us know below.

What can you afford to contribute to this retreat? *

Here is how our process works: We have a scholarship budget for each retreat, and we try to make this accommodate as many applications as possible. Please specify what you need to make this work for you, but know that it is easier for us to approve smaller scholarship amounts. If approved, you will be offered a space in a tent (all bedding provided), with potential to upgrade to a bunk if space allows. Please note that we are not able to accept offers of service as contributions (if you would like to volunteer, apply here).

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of JungleGayborhood.

Does this form look suspicious? Report

Forms