SCHOLARSHIP APPLICATION

NOTE:  please print, fill out, and mail this form (address at bottom).  
Exact formatting is not important, as long as all the needed 
information is provided.  Please refer to the brochure or the 
information on the website, http://www.scn.org/wwfor/forseabeck07.html

Registration and scholarship forms are also on the website, and further 
information, brochures and forms can be obtained by phoning 206-789-
5565

ACROSS THE GENERATIONS:  THE CHALLENGE OF RECONCILIATION & THE FUN OF 
FELLOWSHIP

Fellowship of Reconciliation's 49th Annual Northwest Regional 
Conference

Friday June 29 - Monday July 2, 2007, Seabeck Conference Center, 
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.  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 approximately $50 for registration and $130 - 170 
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, write to F.O.R., 225 N 70th, Seattle 
WA 98103, see http://www.scn.org/wwfor or email 
wwfor@connectexpress.com.

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 use the back of this form or separate paper to 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 May 25) to:

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