Lumina Course Scholarship Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are delighted you are interested in our Lumina Process Level I Course and applying for a partial scholarship. Newfield Network offers a small number of partial course scholarships based on need and circumstances. These scholarships are a donation by Newfield Network. Below you can choose from three scholarship options based on your need.

INSTRUCTIONS:

Please complete this application to be considered by the Newfield Network Advisory Board. Scholarships are granted based on need and available scholarship funds. Applicants will be notified of their results prior to the program start date. Please direct any questions you may have to admin@newfieldnetwork.com.

Email *

Name *

Organization

Mailing Address *

Phone *

Which Scholarship are you applying for? *

Lumina Course Scholarship in the amount of $1,496.25 (25% off)

Lumina Course Scholarship in the amount of $997.50 (50% off)

Lumina Course Scholarship in the amount of $498.75 (75% off)

Required

What draws you to the Newfield Network's Lumina Process Level I Course?
*

What impact do you want to have in the world as a result of completing the program?

What are your current thoughts on how you will reciprocate or give back the gift of the scholarship? (Note: Include synchronous reciprocity such as non-financial, in-kind contributions, referrals of full tuition participants, etc. Or asynchronous reciprocity, such as you giving your time to others to pay the scholarship gift forward.)

What circumstances are you facing in your personal and/or professional life for which a scholarship would support you?

Please share with us a bit about your financial situation that prompts you to request tuition assistance.

Other related programs you have attended or participated in:

Any special information or needs to communicate to us?

How were you referred to Newfield? (If by a graduate, please include that person’s name.)

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms