Vallecitos Scholarship Application

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1 Welcome

2 Applicant Information

Please Note: Scholarship funds can only cover retreat fees (lodging and meals). Scholarship funds do not cover transportation costs, shuttle service, comfort pack, or teacher dana. Please keep this in mind when budgeting the amount you are able to pay towards your retreat fees.

Phone *
City *
State *
Which retreat are you applying for? *	Please list the name of the retreat. You must be registered for a specific retreat before we can process your scholarship application.
Have you completed the registration form for the retreat you wish to attend? *	Yes, I have completed a registration for the retreat I wish to attend.If you have not yet completed the registration form for the retreat you wish to attend, please go do that now and then return to this application. We cannot process your scholarship application until you are registered for a retreat.
What is your gender pronoun? (optional)
Are you a person who identifies as BIPOC (Black, Indigenous or Person of Color)? (optional)	Vallecitos asks this question to know if you are eligible for specific BIPOC Scholarship funds. We care to support our BIPOC community.
Are you a person who identifies as LGBTQIA+? (optional)	Vallecitos asks this question to know if you are eligible for specific Rainbow Scholarship funds. We care to support our queer community.
Do you identify as an immigrant? (optional)	We care to support immigrants including undocumented persons and acknowledge the danger and vulnerability of this time.
Do you work in social or climate justice, public service, social service and/or education?	We ask this to support those who have dedicated themselves professionally to service-oriented fields.
Is there other pertinent information with regard to your identities that you would like us to know? (optional)	We care to support a multiplicity of identities having access to practice at Vallecitos.
As a small non-profit aiming for financial sustainability, our scholarship funds are limited. Our scholarship policy covers up to 50% of the actual cost of the retreat. In rare circumstances, we may be able to offer more if needed and funds are available. Knowing this, please indicate the level of support you are requesting. *	I’m applying for a scholarship to cover an additional 15% to the 35% provided in the subsidized rate for a total of 50% of the actual cost of the retreat. I am choosing to request more than 50% to be able to attend. I understand funds are limited.
We would appreciate in a sentence or two understanding why you are seeking additional financial assistance. *

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3 Security Check

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