Laity Lodge

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Laity Lodge Scholarship Questionnaire

We seek to provide retreats for all adults who desire to grow in their relationship with God. Realizing the retreat cost can be prohibitive for some, a need-based Laity Lodge Scholarship Fund has been established to provide financial assistance for individuals and couples. Scholarship awards vary, depending on the cost of the retreat and the level of need. We ask the recipients to cover the deposit which ranges from $50 to $100 per person. The scholarship will then be applied to the remaining balance.

If you would like to be considered for a scholarship to attend a retreat, please fill out the form below and send it to us by clicking the “Send” button at the bottom of this page. Your name and situation will be known only to the Laity Lodge Registrar and Directors, who will evaluate and respond to your request. Our Registrar will notify you as soon as possible of our decision.

Note: If you are filling out this form for another person, please indicate in the spaces below. Give us your phone number and email.

* Fields marked with a red asterisk are required.

Date:	3/12/2010
* First Name:
* Last Name:
* Phone:
* Email:

Retreat for which you would like a scholarship: *


Have you attended a Laity Lodge Retreat in the past? *
	Yes No

Would you be able to pay the deposit for the retreat? *
	Yes No
	If your answer is No, please explain:

Would you be able to pay half of the cost of the retreat? *
	Yes No
	If your answer is No, please explain:

If given financial scholarship assistance from Laity Lodge, would you be willing to submit in writing or email a brief description of your experience at Laity Lodge within two weeks after the retreat? *
	Yes No

Please share briefly with us any information, either personal or financial, that will help us respond wisely to your request: *

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Laity Lodge^®

P. O. Box 290670, Kerrville, TX 78029-0670