Energize! Couples Retreat Scholarship Application
Partial scholarships are available for first-time attendees. The amount given will be dependent on your answers below.

Please wait to register for the retreat until you receive a reply to your scholarship application. If you apply for the scholarship by October 3rd you are guaranteed the early bird price regardless of the outcome. 

All responses will be kept confidential and will only be seen by a few members of the BMP staff.

Email address
You and your spouse's full names
Your answer
What financial circumstances prompted you to apply for this scholarship? (check all that apply to your couple)
Required
How much financial assistance do you need?
We have a limited amount for scholarships, and hope to provide a scholarship for as many couples as possible! Knowing this, please select an option below:
Briefly describe how receiving financial assistance to attend this retreat will benefit your couple.
Your answer
Please briefly share what you hope to gain from this retreat!
Your answer
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of FFWPU. Report Abuse - Terms of Service - Additional Terms