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* 1. Which of the following Fortifyu offerings are you interested in? (Check all that apply)

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* 2. At what email address would you like to be contacted?

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* 3. What is your name, or the name of the requesting organization?

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* 4. What type of financial assistance do you need?

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* 5. If requesting a partial scholarship or discounted rate, what amount can you contribute?

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* 6. Please briefly describe your (or your organization's) current financial situation and why you are requesting assistance:

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* 7. How do you believe participating in these offerings will benefit you?

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* 8. Are there any specific challenges or experiences you’re facing in animal care that you hope to address through these offerings?

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* 9. Have you participated in any similar programs or retreats before? If so, please describe your experience:

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* 10. Would you be willing to provide documentation to support your financial need if requested?

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* 11. Any other comments or information you would like us to know?

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