Institute Scholarship Application

Please fill out this form and submit for a scholarship review.

First Name

Last Name

Phone/Mobile

Address Line 1

Address Line 2

City

State

Zip Code

Country

What is the name of the event you are interested in attending?

How did you hear about this event?

Are you a member of Institute for Creative Living?

Yes

What is your member username?

Your Current Employment Status

Employer Name

Job Title

Have you attended any other ICL event or participated in other ICL activities? If so, please list a couple and share what you learned from each experience. What impact did those events have on your life?

Describe why you are applying for a scholarship for this event. How will this event contribute to your personal growth?

Would you be willing to participate in any of the following?

Other skills - Please describe

Anything else we should know?