SCHOLARSHIP APPLICATION
47th Annual Fellowship of Reconciliation Regional 
Conference
July 1 - 4, 2005, at Seabeck, Washington

	Fellowship of Reconciliation is an international 
faith-based organization whose members are committed to 
working to achieve justice and peace through non-violent 
means.  This year's regional Conference theme is 
"NONVIOLENT RESISTANCE."  The retreat includes talks, 
workshops, music, and recreation, at a beautiful wooded 
conference center at Seabeck, Wa, on the Hood Canal.  
Workshops will cover a variety of justice and peace-making 
topics, from local to global.  Cost for adults will be $45-
50 for registration and $122 - 158 for lodging (3 nights) 
and food (8 meals, breakfast Saturday through lunch 
Monday).  The registration materials contain more 
information about the program, as well as space for all 
participants to indicate willingness to perform needed 
volunteer jobs (although most of the cooking and cleaning 
is done by paid employees at Seabeck).

	We strive for diversity of age, race, ethnic 
background, spiritual beliefs, sexual orientation, and 
family situation.  Full or partial scholarships to the 
retreat are available to those who would not otherwise be 
able to attend.  Membership in F.O.R. is not considered in 
granting scholarships;  we encourage all those interested 
in the conference to apply.  For more information on 
scholarships, phone (206)-789-5565 or (206)-325-9208, or 
write to F.O.R., 225 N 70th, Seattle WA 98103.

PLEASE NOTE:  scholarship applicants need to submit a 
registration form as well as this scholarship form;  phone 
or write if you need the brochure and/or form.

Your Name  ____________________  Age if under 18  ____ *

Address  ________________________  Day Phone  (_____) _____ 
- _______ 

      ___________________________  Eve Phone  (_____) _____ 
- _______ 

*Persons under 18 unaccompanied by persons over 18 will 
need consent from parent or guardian.

Please briefly answer the following questions:
1.)	What groups and/or kinds of activities promoting 
justice and peace have you been involved in, if any?
2.)	Why are you interested in attending this conference?
3.)	How do you think you might use the experience 
afterward?
4.)	Is there anything about yourself that you would like 
to tell us which you feel deserves special consideration?  
(for example, single parent, disabled, minority, 
unemployed, . . . )
(just a sentence or 2 for each question)

	Please answer the following by filling in the blanks:

I'm applying for  _____  full or   _____  partial 
scholarship.  I can pay   _______  

(Please consider this carefully;  even if you can pay only 
a small portion, it will help our limited scholarship funds 
go that much further!)

References (optional, but helpful to us especially if you 
are new to FOR or to activism;  these might include FOR 
activists, teachers, counselors, ministers, employers, 
neighbors, etc.)

Name ___________________________ Phone numbers 
___________________________ 

Name ___________________________ Phone numbers 
___________________________ 

Please send the completed scholarship application form as 
soon as possible (preferably by June 1) to:

Western Washington Fellowship of Reconciliation,  attn. 
Helen Karr,   225 North 70th,   Seattle WA 98103