Student Scholarship Program FormThis form is without the Event ID. This entry will not be submitted.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Layout attended events First Name *Last Name *Email *Gender *MaleFemaleUsed for shared room allocation purposes only, if applicableAge *Employment Status *Select the statusEmployed for wagesSelf-employedOut of work and looking for workOut of work but not currently looking for workA homemakerA studentMilitaryRetiredUnable to workDescribe your financial situationHave you attended events with other teachers? *YESNOHave you attended online events with Francis? *YESNOLast six months details *Please give details of any retreats with other teachers you have attended in the last six months and if you did so as a paying guest or under a partial or full scholarship.Any other information you feel we should know. Any other information you feel we should know.Agree *I AgreeIn accepting this scholarship you agree not to attend a paying retreat by another teacher during the next 6 months, unless you do so on a full scholarship.Submit