Scholarship Application

Organization name*

Address*

Street Address Address Line 2 City State ZIP Code

Organization sponsor name*

Sponsor's Email*

Sponsor's phone number

Name of participant*

Position in Organization*

Organization's Mission

Website

Please explain in detail how your organization and your client base will use and benefit from what the participant will learn in this course.*

Describe the participant's personal level of commitment to this work, and what it will mean to him/her if able to participate in this type of training.*

Describe your organization’s commitment to create a culture of Presence-Based Coaching and Leadership, and what impact that culture will have as you extend this culture into the communities you serve.*

Please explain the financial need. How will your organization cover the remaining cost of the course?*