Energize! Couples Retreat Scholarship Application - Mobile, AL 2019
Partial scholarships are available for first-time attendees. The amount given will be dependent on your answers below.

Please wait to register for the retreat until you receive a reply to your scholarship application. If you apply for the scholarship by May 19th you are guaranteed the early bird price regardless of the outcome. 

All responses will be kept confidential and will only be seen by a few members of the BMP staff.
Sign in to Google to save your progress. Learn more
Email *
You and your spouse's full names *
Best phone number to reach you *
What is your local community? *
What financial circumstances prompted you to apply for this scholarship? (check all that apply to your couple) *
Required
How much financial assistance do you need?
We have a limited amount for scholarships, and hope to provide a scholarship for as many couples as possible! Knowing this, please select an option below:
Clear selection
Briefly describe how receiving financial assistance to attend this retreat will benefit your couple. *
Please briefly share what you hope to gain from this retreat! *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy