Learning Grant Form

Learning Grant Form

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Dear Friends,

We depend on the help of many people to keep our doors open to all. We are pleased to offer some support for your journey. We hope we will be able to make your participation possible. Our financial assistance program is administered by a small committee that tries to be equitable in distributing funds throughout our programs and to a range of individuals. It is helpful to the committee to have some information to use in the decision making process.

Therefore, we ask that you complete section A, B, C, and D. Due to high demand and to help us process your request immediately, please return this form as soon as possible, but no later than 7 days after receiving the form.

We limit these grants to one (1) per person in our fiscal year (07/01 to 06/30). Level of aid is determined by cost of retreat and agreement to our committee.

You will be responsible for paying any outstanding balance that is not covered by the amount of assistance offered to you. Payments plans are available. For more information about payment plans, please contact Cristina Esguerra at 650-340-4527 or mc@sistersofmercy.org.

Section A: Applicant Information and Request

MM slash DD slash YYYY
Name*
Address*

Section B: Program Category (Select one or all that applies)

Please apply at least 1-2 weeks prior to the start of your program.

Section C: Financial Situation


Section D: Request for Assistance

Special Thanks

We would like to give a special thanks to our donors and charitable foundations that support our Learning Grants: Sisters of Mercy of the Americas, The Gellert Foundation, The O'Shea Foundation, and Private Donors.

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