Scholarship Application

Scholarship Application for Program Participants

Scholarship funds are available for the programs listed below to help lower financial barriers thanks to generous underwriting from individuals and foundations interested in supporting people’s journey toward wholeness.

We have a limited amount of scholarship funding that we can offer for each program. The amount of financial assistance provided is based on funds available, your requested need, and the requests of other participants. We typically offer assistance to partially offset tuition costs. You are responsible for your own room & board, as well as your travel expenses.

We are very intentional about separating the program application review process from the scholarship award determinations. Your financial circumstances are never taken into consideration when deliberating about your acceptance into a program. After you’ve been accepted to the program, we review your scholarship application and consider financial assistance allocations. We will inform you of the scholarship amount provided at least one month before the program start date, and likely earlier depending on the program.

If you have any questions about this form or the scholarship process in general, you can reach out to Sherri Whittington at sherri@couragerenewal.org.

Fill out the form below to submit your application.

Program Selection

What is the name of the program you wish to attend?(Required)

Registration/Application Status(Required)

Submitting a scholarship application does not indicate that you have applied/registered for the retreat or program. If you have been instructed to register and submit a deposit before submitting your scholarship application, we will refund your deposit if we are unable to offer enough funds to allow for your participation. Have you applied or registered for the program/retreat for which you’re requesting funding?

I have applied for the program.

I have registered and submitted a deposit for the program.

Your Personal Information

Name(Required)

First name* Last name*

Email*(Required)

Phone*(Required)

Address(Required)

Address* City* State / Province / Territory* ZIP / Postal Code* Country*

Date of Birth*(Required)

Funding Request

Please describe why you are seeking financial assistance for this program.*(Required)

What amount of personal funds are you able to pay towards your program tuition fee?*(Required)

Please be sure your response is converted to U.S. Dollars.

What amount of financial assistance are you requesting?*(Required)

Please be sure your response is converted to U.S. Dollars.

Other Sources of Funding

If applicable, please describe your source of other funds to support your participation (i.e. support from employers, organizations, fellowships, etc.) and the amount (in U.S. Dollars).

Demographic Information

We invite and encourage you to share as much additional demographic information as you’re able about how you identify. We strive to be inclusive of everyone so they can feel welcome and protected while disclosing their information. By collecting this information, we’re better to able to track the diversity of the scholarship requests that are being submitted. The information you choose to provide will not be shared beyond the CCR staff and program leadership teams.

Which categories listed below would you like to share more about yourself, if any?

Feel free to check as many of the categories below that you wish to share more about yourself. When checked, a corresponding form field will appear for you to provide the appropriate information.

Gender

Pronouns

Race and Ethnicity

Sexual Orientation

Spiritual and Religious Affiliation

Spoken Languages

Additional Information

How would you describe your gender identity?

Please check as many as you’d like.

Genderqueer

Gender fluid

Man

Non-binary

Transgender

Two-Spirit

Woman

I’d like to self-identify

Gender: Self-Identify

Pronouns

How would you describe your racial and/or ethnic identity?

Please check as many as you’d like.

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic, Latino, Latina, or Latinx

Middle Eastern or Northern African

Native Hawaiian or Other Pacific Islander

White or Caucasian

I’d like to self-identify

Race and Ethnicity: Self-Identify

How would you describe your sexual orientation?

Asexual

Bisexual

Gay

Heterosexual

Lesbian

Pansexual

Queer

I’d like to self-identify

Sexual Orientation: Self-Identify

What religion(s) or spiritual/religious philosophies do you currently consider yourself affiliated with?

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

I’d like to self-identify

Spiritual and Religious Affiliation: Self-Identify

Spoken Languages

Please list below any languages that you speak fluently.

Please share any additional information about your identity.

Vocation or Profession

Please provide this information to help us keep track of the professional backgrounds represented in the work that we do, as well as gain a better understanding of who is seeking scholarship funding. This information also helps us recommend specific interest groups, programs, resources, or learning communities that you might find helpful in the future. We welcome people of all vocations: those still seeking a vocation, those who have left behind a vocation, and those in transition.

Professional Role / Vocation*(Required)

Employer*(Required)

Please check any that apply.

I am currently retired.

I am currently a student.

I am currently transitioning from one role/career to another.

Sectors and Focus Areas

Sectors and Focus Areas*(Required)

Please check any of the options below based on your personal and/or professional experiences and interests. Again, this information helps us provide meaningful information for you about upcoming programs, resources, and points of connection. Please feel free to check any that you’re currently affiliated with or that deeply interest you.

Are you clergy or in a position of formal congregational leadership?*(Required)

Yes

Faith Tradition and/or Denominational Affiliation*(Required)

Sectors and Focus Areas: Other*(Required)

Are you related to a Courage & Renewal Facilitator, CCR staff member, or CCR board member? If so, please provide that person's full name below.

Acknowledgment*(Required)

I understand that I must attend and complete the program for which I receive scholarship funding. If I do not complete the entire program, I agree to repay a portion or all of the awarded scholarship amount, as determined by the Center for Courage & Renewal.

I agree.

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Scholarship Application