Yinsa Foundation Educator Retreat Scholarship Application
Complete this application to be considered for limited, no-cost or reduced-cost retreat seats. If approved, the foundation will donate $2,000 toward the cost of your retreat. This opportunity is open exclusively to current educators.
Applicant Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
School or District Name
*
Grade Level(s) and Subject(s) Taught
*
Years of Teaching Experience
*
Which retreat are you applying for?
*
Verification of Educator Status
Upload proof of current employment as an educator
*
Upload a File
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of
School-issued email address (if different from above)
About You and Your Need
Why do you want to attend this retreat? What are you hoping to experience, heal, or reconnect with?
*
How do you believe this experience will impact your teaching and your students when you return to the classroom?
*
Is the cost of this retreat a barrier to you attending without a scholarship?
*
Yes
No
If comfortable sharing, briefly describe the financial barrier.
Availability and Logistics
I confirm I am available for the full dates of the retreat I am applying for
*
I confirm
Dietary restrictions, accessibility needs, or accommodations
Consent and Certification
I understand that if selected, I may be asked to share a short testimonial or photo from the retreat for Yinsa Foundation’s fundraising and educational materials. I am comfortable with this.
Yes
I certify that the information provided in this application is accurate to the best of my knowledge.
*
I certify
Typed Full Name
*
First Name
Last Name
Date
*
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Month
-
Day
Year
Date
Submit Application
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