Atlanta Conference 2024 Scholarship Form

2024 Atlanta Conference Scholarship Application

Please complete this form to be considered for one of our Atlanta Conference scholarships. We have a number of different packages so you will need to choose the package that meets your needs. Please fill in all the questions so we can process your application. You will be notified if you are awarded a scholarship.

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Email Confirm Email
Phone
Are you active in 12 step program?
Have you attended a CP introductory workshop?
Do you have a Centering Prayer Practice?
Tell us about how you are currently serving in your 12-Step community by carrying the message of Centering Prayer as an 11th step practice.
If not, would you like information on how to serve your local 12-Step community.
Take what you need and leave the rest for others to use…*
- Covers $250 registration and meals.
- Covers 3 nights at the hotel $180.
- Covers $250 registration and meals. Covers 3 nights at the hotel $540 for a total of $790
- Covers $250 registration and meals. Covers 2 nights at the hotel (180 x 2 = $360). Covers some or all transportation ($500). Total $1110
Thanks to your generous donations, we are in a position to offer full and partial scholarships for individuals that have a desire to attend and participate in the conference. There are certain items that 12 Step Outreach can help with covering costs: Registration: $250 (includes meals) Hotel accommodations $180/night, excluding taxes. Transportation $ up to $500
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2024 Atlanta Conference Scholarship Application

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