Joni and Friends Family Retreat Scholarship Application Name Today’s Date

Address

Phone Email

City State Zip Family Retreat Location and Date:

Joni and Friends encourages scholarship applicants to seek other funding options in addition to applying for a scholarship

from Joni and Friends. Additional funding resources could include, but are not limited to:

• Church, friends, family and local agencies: Families seeking support from these resources often discover

continuing support and assistance that lasts far beyond their time at Family Retreat.

• Private and public organizations: These organizations may provide funding based on specific situations and

requirements. The Joni and Friends website provides possible resources. CA residents may also find assistance

through the local regional center.

Joni and Friends offers limited scholarships to those families meeting the following requirements (pending resources).

• Joni and Friends awards scholarships on a first-come, first-served basis to one Family Retreat per year.

• Joni and Friends uses available funding to award scholarships that cover a portion of each family’s total cost.

• Families attending for the first time will receive priority.

o Families applying must have a legitimate financial need and unable to attend Family Retreat without

assistance.

• Families must seek assistance from two (2) other sources. This can include family, friends, churches and local

agencies.

• In order to process the scholarship application, complete the following information in its entirety.

Have you previously attended a Joni and Friends Family Retreat? Yes No Have you previously received a

Joni and Friends scholarship? Yes No

Briefly describe your primary objective for attending Family Retreat: _________________________________________

__________________________________________________________________________________________________________

List the two (2) other sources the family has already contacted for assistance:

Individual or

Organization

Contact Name Date

Contacted

Telephone

Number

Expected

Assistance Amount

Total Family Retreat Cost $ _____________ Amount expected from self $ _____________

Amount expected from other sources $ _____________ Joni and Friends scholarship request amount $ ____________

(Joni and Friends scholarship request should not exceed 50% of the total cost. Please contact your Family Retreat Director with any questions).

Please email, mail or fax this form using the retreat contact information on the 2018 Family Retreat Schedule

Joni and Friends will not consider incomplete forms Office Use Only

D ate Reviewed _____________________