IOOH 26 - Scholarship Application

In Our Own Hands: Women's Wellness Series Scholarship Application
This is a partial-payment scholarship where payment is due when your application is approved and you register for your workshop(s).

Applicants will be notified as to acceptance within two weeks of submitting an application.
Information

Please make sure your information is correct as this is the only way we have to contact you.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Scholarships
Please select which scholarship you are applying for*

A partial scholarship for one workshop ($10)A partial scholarship for two workshops ($20)A partial scholarship for three workshops ($30)A partial scholarship for four workshops ($40)A partial scholarship for five workshops ($50)A partial scholarship for the whole series ($60)
Scholarship Criteria
Share with us how you meet the diversity criteria for this scholarship. Select all that apply*

I am a Woman of ColorI am an Elder (62 or older)I am a Woman under the age of 18None of the Above
Share with us how you meet the financial need priorities for this scholarship*
Please describe how this scholarship would contribute not only to your life but to the life of the community or communities you are a part of.*
Additional Notes:
Thank you for applying!
Should be Empty:

In Our Own Hands: Women's Wellness Series Scholarship Application