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"Grief Recovery Method” Scholarship Application
Financial assistance is available, up to $300 for the group and up to $400 for the individual session.
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Email *
Name *
Email *
Phone number *
What is your birthday?
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DD
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What is your annual household income? If considered for scholarship, proof of income may be required. *
Required
Are you a single parent? *
Have you experienced sexual abuse at some point in your life? *
Explain why you would like to participate in this group and what steps you have already taken to further your healing process. *
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This form was created inside of The Seraphim Project. Report Abuse