Financial Assistance Application

At Leap Into Healing, we are committed to ensuring that our events are accessible to everyone, regardless of their financial situation. If you are experiencing financial difficulty, we invite you to apply for free entry to our "QUEER IN BUSINESS: Building a Career and Navigating it in Pride" event. Please complete the form below to be considered for financial assistance.

Name

First Name

Last Name

Phone

(###)

###

####

Occupation

Company/Organization

(if applicable)

Financial Need

Please briefly describe your current financial situation and why you are requesting financial assistance for this event:

How would attending this event benefit you personally and professionally?:

Is there any other information you would like us to consider when reviewing your application?:

Additional Information

Is there any other information you would like us to consider when reviewing your application?:

Submission Instructions

*Please complete this form and submit it by June 25, 2024. Applications will be reviewed on a rolling basis, and you will be notified of your application status by June 26th.

Contact Information

*For any questions or concerns regarding this application, please contact us at info@leapintohealing.com.

Confidentiality Statement

*All information provided in this application will be kept confidential and used solely for the purpose of assessing your eligibility for financial assistance.

We are dedicated to making our events inclusive and accessible to all. Thank you for your interest in attending "QUEER IN BUSINESS: Building a Career and Navigating it in Pride." We look forward to supporting you on your healing and professional journey.