Retreat Scholarship Application

FULL BALANCE must be paid by 3/01/2024.

ROOMS AVAILABLE WITH A PARTIAL SCHOLARSHIP BRING FULL RETREAT COST TO $1,700 or $1,900.

Name

First Name

Last Name

Pronouns

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you applying for a partial scholarship room that costs $1,700 or $1,900, check all that apply.

$1,700

$1,900

Current job position:

Tell us about yourself and why you need a scholarship

What are your favorite classes and teachers at THREE JEWELS?

Do you currently have a meditation, yoga or dharma study practice? If yes, how frequently and how long have you been practicing?

Are you interested in participating in our trainings (yoga, meditation, dharma courses) and/or becoming a teacher?

Are you currently or have you been a volunteer at Three Jewels?

Yes

No

Do you consent to us sharing your answers to this application *anonymously* in our future marketing materials?

Yes, I consent

No, I do not consent