Scholarship Application (Survivors & Loved Ones Only)

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* 1. Contact Information (This information and all info below is confidential and for application purposes only. We will not share this information with anyone, and it will NOT appear on any conference publications, name tags, etc)

First Name:

Last Name

Email Address (to receive your access code for discounted registration)

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* 2. What specific skills, knowledge or resources would you like to gain by attending the WINGS Soaring to New Heights Conference? (150-200 words)

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* 3. How do you plan to incorporate what you learn at the conference into your professional and/or personal daily life? (50-100 words)

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* 4. Please briefly describe the financial need that is prompting your scholarship request. (50 words max)

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* 5. How much would you feel comfortable contributing toward conference registration?
(Regular price to attend either the Fri or Sat workshops is $89 per day)

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* 6. Have you received specialized services (individual counseling or attended a WINGS support group) to help you heal from your experience of childhood sexual abuse? (50 words max)

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* 7. What is the biggest barrier preventing you from accessing those services? Is there specific support that would be helpful to you? (50 words max)

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* 8. What is one essential obstacle or aspect of the healing journey that you would like to better understand OR that you wish other audiences would better understand? (50 words max)