Dance Your Medicine Retreat Scholarship Application Form
We at Cocréa strive to create events that are inclusive. If you deeply desire to join us and need financial assistance to do so, please fill out this form and we will do our best to accommodate your needs. We do have limited space so preference will be given to those who demonstrate the greatest need. Scholarship includes meals but does not include lodging accommodations. Total cost to participants for this scholarship program is $150-250 sliding scale.
Name *
Your answer
Email *
Your answer
Phone Number (if applicable)
Your answer
Country of Origin *
Your answer
Occupation *
Your answer
Please give us a rough estimate of your annual income in USD. *
Your answer
How far will you travel to attend Dance Your Medicine? *
Why do you want to attend this retreat? How is Dance your Medicine? *
Your answer
What are you excited to contribute to this event? *
Your answer
What is your interest and/or background in dance? *
Your answer
Anything else you would like us to know?
Your answer
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