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Living Legacy Pilgrimage Scholarship Application

Please complete the following application as fully as possible. Scholarship decisions will be based on the information provided in this application.

Note: scholarship awards apply to double-occupancy only. If you do not have someone you can room with, one can be assigned to you.  

The deadline for receipt of scholarship applications is December 15, 2019. Following notification of grant awards, registration and the balance of fees is due by January 31, 2020

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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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(mm/dd/yyyy)

Select all that apply.

Please share your race or ethnicity that isn't listed above.

Request

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How much of the $1,028 registration fee and/or expenses are you applying for? Check all that apply.

Enter the amount you are requesting.
Additional assistance

It is not possible for us to provide 100% funding for most applicants. Your participation in raising the funds you'll need to finance your registration and travel expenses allows us to stretch the dollars we have so that others can also participate. You might be able to receive additional financial support to attend this Pilgrimage from other sources, such as family, friends, your congregation/faith community, an on-line appeal, or other fund-raising efforts. 


Previous Scholarship Assistance
Have you previously received scholarship assistance from the Living Legacy Project?

Reference

Please provide contact information for someone who can provide a personal reference. 


First Name
Last Name


Thank you!

Thank you for your interest in the Living Legacy Pilgrimage! We will be in touch with you as soon as possible with information about your application for a scholarship.