Scholarship - The Empowerment & Adventure Program

Scholarship Application

Description:

This $600.00 scholarship covers:

1. The “Meet and Greet” on on Participants, Athletic Directors and Speakers

2. (8) eight two-hour mind and body empowerment sessions

3. An indoor rock-climbing adventure

4. Certificate upon Course Completion

5. Preview and Post Mentor Calls

First Name(Required)

Last Name(Required)

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Telephone

Cell Phone / Mobile Number

Work Telephone

Current school name

Current school address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sports

Other Extracurricular Activities such as Drama, School Government, Ski Club, Language Club, Science Club

Civic / Community Activities

Mission Trips

Element of program in which I am most interested:

Fun Fitness “Boxerina”

Evolution PT the leader in sports performance

Warm-ups by three-time world triathlete champion

Becoming financially independent

Obtaining strategies for dealing with bullying and social media

Self-Development Compassion Exercises to enable participant to improve interpersonal interactions

Healthy nutrition

Careers for women in the sciences

True inspirational stories of overcoming adversity

In your own words, tell us your reason for applying for this scholarship. What do you hope to gain from this program?

Why do you believe you deserve this scholarship?

Parent or Legal Guardian(s)

Parent / Guardian 1(Required)

First Name(Required)

Last Name(Required)

Parent / Guardian 1 Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent / Guardian 2

First Name

Last Name

Parent / Guardian 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tell us what inspires you:

Note: In the event that you wish to enroll in the program to gain inspiration, that is an acceptable answer.

Tell us of areas/topics with which you find yourself struggling or find challenging:

Phone

This field is for validation purposes and should be left unchanged.

Scholarship Application

Description:

This $600.00 scholarship covers:

1. The “Meet and Greet” on on Participants, Athletic Directors and Speakers

2. (8) eight two-hour mind and body empowerment sessions

3. An indoor rock-climbing adventure

4. Certificate upon Course Completion

5. Preview and Post Mentor Calls

First Name(Required)

Last Name(Required)

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Telephone

Cell Phone / Mobile Number

Work Telephone

Current school name

Current school address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sports

Other Extracurricular Activities such as Drama, School Government, Ski Club, Language Club, Science Club

Civic / Community Activities

Mission Trips

Element of program in which I am most interested:

Fun Fitness “Boxerina”

Evolution PT the leader in sports performance

Warm-ups by three-time world triathlete champion

Becoming financially independent

Obtaining strategies for dealing with bullying and social media

Self-Development Compassion Exercises to enable participant to improve interpersonal interactions

Healthy nutrition

Careers for women in the sciences

True inspirational stories of overcoming adversity

In your own words, tell us your reason for applying for this scholarship. What do you hope to gain from this program?

Why do you believe you deserve this scholarship?

Parent or Legal Guardian(s)

Parent / Guardian 1(Required)

First Name(Required)

Last Name(Required)

Parent / Guardian 1 Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent / Guardian 2

First Name

Last Name

Parent / Guardian 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tell us what inspires you:

Note: In the event that you wish to enroll in the program to gain inspiration, that is an acceptable answer.

Tell us of areas/topics with which you find yourself struggling or find challenging:

Name

This field is for validation purposes and should be left unchanged.

Scholarship Application

Scholarship Application

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