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

Date*

Name*

First Last

Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Email*

Retreat Name

Retreat Date

Retreat Fee

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

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

Art & Practice of Spiritual Direction Flow: Program grants are given to a limited number of participants who apply for each billing cycle. Maximum is $2,000 per year.

Sacred Journey: Program grants are given to a limited number of participants who apply. Maximum is $500.

Spiritual Exercises: Program grants are given to a limited number of participants who apply. Maximum is $500.

Summer at the Center: Program grants are given to a limited number of participants who apply. Maximum is $500.

Retreat Scholarships: Financial aid for our retreats is made possible by our donors.

Section C: Financial Situation

1. What is your present source of income? (i.e., job, disability, social security, etc.)*

2. Do you have any other sources of support? (i.e., continuing education money from employer, faith community, etc.)*

3. Are your monthly expenses over, under, or compatible with your income?*

4. How much money do you feel capable of contributing toward this cost?*

Section D: Request for Assistance

Please share with us your reasons for requesting financial 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.

I certify that all of the above information is true and correct. I understand that this information will be kept strictly confidential and is only used in determining eligibility.

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