Rising Lotus Retreats Scholarship Program Application
Name
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First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Which retreat would you like to attend?
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If the retreat you are interested in attending is full, would you be willing to attend another one?
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Tell us a little bit about yourself (be as creative as you would like):
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Why do you want to join our retreats?
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Are you unable to join our retreat without this scholarship?
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Would you be able to cover the travel costs for the retreat?
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What do you hope to achieve by attending a retreat?
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Have you ever attended a healing retreat before?
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If yes, which one?
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What are you most nervous and/or excited about when thinking about joining a retreat (if anything)?
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Final thoughts, insights, or details you would like to share:
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Submit
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