Retreat Affordability Application for Gay Men's Health Retreat
It is the GMHR wish and goal to help all applicants to afford this valuable time. We have requested sponsorship money from various corporations, organizations, and entities who have the right to put designation guidelines on who assistance should be available to. Small amounts of money have been donated to help individuals be able to afford this retreat. The information we collect is for the sole purpose of identifying those we would best be able to help afford this Gay Men's Retreat and only this event One is only required to answer any questions you feel comfortable answering.

Applications are open now, deadline May 27th and decided on by May 28th. All applicants will be advised of decisions.

Name *
First and last name
Your answer
Email *
Your answer
Phone number *
Your answer
How much can you currently afford to pay?
Your answer
I am
check all that apply
I identify as a minority in the following category
This is optional and currently there are no minority specific grants but could help us find future scholarship dollars.
Your answer
I annually make
Please select your approximate gross income.
I would be interested in *
select all that applies
Tell us how attending this Gay Men's Health Retreat is important to you. *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Buddies of NJ. Report Abuse - Terms of Service