Worksheet

Virtual Village Scholarship Request Form

It's important to me that as many mothers who need it can access the Revolution From Home Virtual Village. You are welcome to apply for a scholarship if your financial situation makes the full cost out of reach.

*Note: I offer these scholarships in good faith. Please act with integrity and only apply for one if you have a genuine need. This allows me to continue to offer this form of financial support to the mothers who need it most.

1. ➜

I confirm that my financial situation makes the full monthly cost of the Virtual Village out of reach.

Yes

2. ➜

I am offering two scholarship options for access to the Virtual Village. You can choose to pay $19 per month or $9 per month instead of the full price of $29 per month. Which option are you requesting?

$19

3. ➜

Your name, please.

4. ➜

*Important Note: Once you've submitted this application, you will be hearing back from us. Please check your spam folder if you don't receive a response.

Click "Save Worksheet" below to submit your request.

Save your answers

Enter your email address so we can save your answers for you:

Simplero