First name
Last name
Email
Phone
Preferred method of contact
Tell us about the loss or transition you are navigating right now. Share only what feels comfortable.
Support you are Seeking
How would this scholarship support you at this time? (No need to share financial details unless you choose.)
What draws you to this retreat/work? What do you feel you need most right now?
Is there anything else we should know to support you?
Submit
Grief Scholarship Application