WA Recovery Summit Scholarship Application (2019)
We hope you can join us for the 2019 Washington Recovery Summit on September 23-24 in Stanwood!
This scholarship application form is for folks in need of assistance to cover the cost of registration ($50 per person) and/or lodging ($80-150 per person per night). Please note that funds are limited and scholarship recipients will be assigned a roommate unless special accommodations are required.

All scholarship applications are confidential and will only be reviewed by an internal WRA committee for approval until funds are gone.

Completing this form does NOT guarantee you will receive scholarship funds. If you are selected for a scholarship, you will be sent instructions on how to proceed.

First Name
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Last Name
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E-mail
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Phone
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Address
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City
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Zip Code
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County
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How many people live in your household?
Your answer
What is your household income?
How will receiving a scholarship support your attendance at the summit?
Your answer
What are you requesting scholarship support for?
Why are you interested in attending the 2019 Washington Recovery Summit?
Your answer
Anything else we should know about your scholarship application?
Your answer
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