Scholarship Application Form

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Please fill out the form below and we will contact you for a conversation about your scholarship!

Email *

First and Last Name *

Contact information (text or call)

Your age *

What are you requesting a scholarship for? *

Coach and desired package and price (for example "Hannah - The Shift $160")

Are you able to pay for any of the cost of the service you are requesting? *

Please write the amount of scholarship you are requesting. *

Are you able to help us spread the word about GLH in any of the following ways? This helps us increase our donor base and our paying clients, which offsets the costs of scholarships. *

Share an information packet with my organization (church, nonprofit, school, etc)

Share a potential donor packet with my interested friends and family.

Refer my friends and family to workshops and/or coaching.

Share about GLH on my social media accounts.

Required

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