Vallecitos Scholarship Application

* These fields are required

1 Welcome

2 Applicant Information

Please be sure to complete BOTH this scholarship application as well as complete the registration form for the retreat you wish to attend. We cannot process your scholarship application until you are registered for a retreat.

City *
State *
What is your gender pronoun? (optional)
Are you a person who identifies as BIPOC (black, indigenous or person of color)? (optional)	Vallecitos only asks this question to know if you are eligible for specific BIPOC Scholarship funds.
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.
Are you working at least half time in a profession that is in service to others? For example: Essential workers, health care professionals, teachers, artists, anyone who works for a non-profit, and more. *	Yes No Not Sure We ask because we have funding from Hemera that is dedicated to these specific groups and your response helps direct us to the most relevant scholarship source.
Are you between the ages of 18 and 25 years old? *	Yes No We ask because we have funding from Hemera that is dedicated to this age group and your response helps direct us to the most relevant scholarship source.
Please indicate the dollar amount of scholarship funding you are seeking (kindly read note below) *	PLEASE NOTE: Scholarship funds can only cover RETREAT FEES (lodging and meals). Scholarship funds do not cover transportation costs, shuttle service, comfort pack, or DANA. Please keep this in mind when budgeting the amount you are able to pay towards your retreat fees.
Have you received a scholarship from Vallecitos Mountain Retreat Center before? *	Yes No
Our scholarship funds are limited and in very high demand. Please describe in a few sentences why you are seeking financial assistance to attend this retreat. *
Is there any other pertinent information you would like to share?

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