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Home
Our Therapists
Services
Therapy Services
In-School Services
Gals Waiver
Resiliency Events & Workshops
Consultation & Speaking Engagements
Resources
Gals on the Go
The Workshop Box: Calm,COOL, Capable
Product
Grant Application for Schools
Request a Scholarship
Supporters & Sponsors
Group Waiver
Gallery
Contact
Request a Scholarship
Please fill out ALL areas to be considered.
*
Indicates required field
How did you hear about Gals On the Go Project Scholarship? (please choose one)
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Chosen by donor
Requesting scholarship
If chosen by donor, who nominated you?
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Child's Name
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First
Last
Child's Date of Birth (MM/DD/YYYY)
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School Name / Current Grade
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Parent / Guardian Name
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Which workshops is your child interested in?
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Frenemy No More
Frenemies Series
Calm, Cool, Capable Kids
Healthy Relationships - Self & Others
5' S of Self Esteem
Resiliency 1,2,3
Other
Parent/Guardian Email
*
Phone Number
*
Please explain financial need, i.e. loss of job, high insurance deductible, etc:
*
How would your child benefit from this scholarship?
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To be accepted to receive a GOTGP scholarship you will be required to complete post event surveys, share positive experiences/testimonies, and provide a photo of the participant. This helps GOTGP to spread the word of our mission and continue to raise funds to provide future scholarships.
*
Accepts roles and responsibilities
E-Signature
*
First
Last
Submit