Scholarship Application — Solsara
Offerings
3-Day Immersions
About
Solsara
Facilitators
Offerings
3-Day Immersions
About
Solsara
Facilitators
SCHOLARSHIP APPLICATION
Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Phone Number
*
(###)
###
####
Please indicate the dates and location of the event you would like to attend?
*
Have you applied for a Solsara scholarship before?
*
Yes
No
In 150–300 words, describe how you believe you will benefit from this workshop.
*
In 150–300 words, describe your plans to take the skills and tools you acquire back to your community. Please be specific.
*
Your total household adjusted gross income from all sources for the previous calendar year.
*
Total number in household in the most recent calendar (tax) year.
*
Can you be claimed as a dependent on someone else's taxes?
*
Yes
No
If you have any extraordinary expenses, large debts, or other circumstances that you would like the us to take into consideration, please explain fully, be specific, and include financial details.
*
Do you have other funding sources? (e.g., grants, fellowships, federal assistance, veteran benefits, friends, and family). If yes, please explain.
*
We are committed to making Solsara available to people of all colors, ethnicities, national origins, religions, genders, sexual orientations, abilities, and ages (15+). If you wish to identify yourself with a group(s) that has been marginalized, please describe below:
FULL DISCLOSURE AND ACCEPTANCE OF TERMS: I certify that all the information I have provided is complete and accurate and that I have given a full disclosure of my financial status. I understand that all the information in this application will be kept strictly confidential and only used to determine my eligibility for a scholarship.
*
Yes
Thank you! We will be in touch shortly.
