Name* First Last Phone*Email* The class, workshop or service you are requesting this scholarship to be used for:Class Name*Date of Class* MM slash DD slash YYYY There are several scholarships available. Each is a percentage off the original cost of the class, workshop or service. Please specify the scholarship that you are applying for:Amount of Scholarship*Select One20%30%40%Any amount availableTell us a little bit about yourself:*Tell us why you are guided to this class, workshop or service:*Tell us what you hope to gain from this experience and how these experiences will make a difference in your life:*Consent* I consent to my submitted data being collected and stored