Scholarship Application Form
Please complete this form to apply for a scholarship for the 6-day "Wise Speech Retreat" with Donald Rothberg & Oren Jay Sofer August 20 - 25, 2019.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
The registration fee for this retreat is $350. What is the total amount are you able to pay? *
(Enter the total amount you can pay for this retreat)
Your answer
Participants are requested to attend the entire retreat, 9am - 5pm daily, Tuesday - Sunday. Are you able to attend all 6 days. *
Are you interested in work trade? *
(If we are unable to offer you a scholarship for the total amount you are requesting)
If yes, what skills or experience are you able to offer?
(Check all that apply)
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