Bloom Scholarship Application

The Bloom Conference does not want money to be the reason you miss this weekend and will try to do what they can to help. Scholarship applications and results will be kept confidential.

Name

This address will receive a confirmation email

Address

Phone

Home church

Is this your first time attending a Bloom Conference?

Please select one option.

Yes No

Why do you want to attend the Bloom Conference?

How did you hear about this event?

Have you been involved with Bloom in the past?

Please select one option.

Yes No

If yes, how?

Are you wanting to add overnight accommodations to your conference package?

Please select one option.

Yes No

Please note if you selected YES to above, scholarship funds are typically for minimum double occupancy rooms with shared bathroom. Restrictions will apply.

*If scholarship funds are provided, please understand Bloom Conference reserves the right to select venue, make any and all necessary changes based on availability and best fit for Bloom.

How much money can you contribute to your registration fee?

We ask that you speak to your local church about contributing to your registration fee. Have you done this?

Please select one option.

Yes No

How much money is your local church contributing to your registration fee?

How much money are you requesting from the conference scholarship fund for your registration fee?

Employment Status

Please select one option.

Full-time Part-time Unemployed Retired Disability

Your Employer's Name

Employer's Phone Number

Employer's Address

Have you received conference scholarship assistance in the last two years?

Is there anything else you want us to know?

If selected I agree, scholarship funds are typically for minimum double occupancy rooms with shared bathroom. Restrictions will apply. Bloom Conference reserves the right to select venue, make any and all necessary changes based on availability and best fit for Bloom.

Please select all that apply.

Yes

Description

The Bloom Conference does not want money to be the reason you miss this weekend and will try to do what they can to help. Scholarship applications and results will be kept confidential.

Bloom Scholarship Application

Description

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