Hemera Funding Application

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The Hemera Foundation has generously provided these funds for our community.

Please note: Our scholarship funds are limited, so each applicant may accept only one scholarship per calendar year.

Contact Information

First Name

Last Name

Email

Street Address

City

State

ZIp/Postal Code

Retreat for which you would like to receive a scholarship

Have you previously attended a retreat or event at the Garrison Institute?

Please list the event and year.

Which of the following best describes your current field of full-time employment?

Job Title

Annual Income in USD

enter a number, e.g. 30000.00

In three hundred words or less, please describe how you believe this program will impact your personal, professional, and/or spiritual life.

How did you learn about scholarships at the Garrison Institute?

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At the Garrison Institute, we believe that our work is most impactful when it is most inclusive. Our commitment to promoting diversity and inclusion in our programming is shared by the individuals and foundations who support our scholarships program. Applicants may be eligible for specific scholarship opportunities designed to support the participation of a fuller array of humanity in our programs. Your responses to these questions will not disqualify you from our general scholarship opportunities, and you are welcome to select “Prefer not to answer” if you do not wish to provide this information.

How do identify your gender? Please select all that apply.

Female	Male
Intersex	Non-binary
Other	Prefer not to answer

How do you identify your sexual orientation? Please select all that apply.

Asexual	Bisexual	Gay
Heterosexual or straight	Lesbian	Pansexual
Queer	Questioning or not sure	Other
Prefer Not to Answer

How do you identify your race and/or ethnicity? Please select all that apply.

Asian or Asian American	Bi-Racial or multi-racial	Black or African-American
Hispanic	Native American or First Nations	Native Hawaiian or Pacific Islander
White	Other	Prefer not to answer

Are you of Himalayan heritage?

How do you identify your religious and/or spiritual experience? Please select all that apply.

Agnostic	Atheist	Bahá'í	Buddhist
Christian	Confucian	Daoist	Hindu
Indigenous religious traditions	Jain	Jewish	Muslim
Nonreligious	Pagan or Wiccan	Shinto	Sikh
Spiritual	Unitarian Universalist	Zoroastrian	Prefer not to answer
Other

Please select your age range.

Please select the highest level of education attained.

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By participating in our scholarship application process, you agree to complete our pre-retreat survey, and, should you be awarded a scholarship, our post-retreat survey. Responses from these surveys helps us to secure financial support by providing meaningful feedback that foundations are seeking, and informs future program development. Information and testimonials provided in your survey will be used solely for these purposes and will never be sold. Your name will remain confidential unless you have provided us expressed permission otherwise.

I believe that mindfulness-based approaches positively impact work performance.

I believe that mindfulness-based approaches positively impact personal development.

I believe that mindfulness-based approaches positively impact interpersonal relationships.

What areas of your life are you looking to support by attending this retreat? (choose *THREE* that best apply)

Community building	Inspiration
Learn or hone a new skill	Professional network development
Self-care	Spiritual practice/development

What skills do you wish to support through this retreat? (check all that apply)

Active Listening	Caregiving	Communication
Compassion	Creativity	Mindfulness
Patience	Resilience	Understanding

How often do you incorporate strategies of mindfulness in your daily life?

I feel that I am a mindful person.

I believe myself to be a compassionate person.

I am someone who is patient with myself.

I am someone who is patient with others.

I plan to use the content from the retreat in my work.

I plan to use the content from the retreat in my life outside of work.

My understanding of the subject matter being offered through this retreat is:

Are you attending a retreat that is predominantly in silence?