Please note: Scholarships are awarded to double occupancy rooms only. Name: Phone: Email: Home Church: Is this your first time at a Dakota Conference Men's Retreat? Please note that scholarships are awarded for double occupancy only. How much money can you contribute to your registration fee? We ask that you speak to your local church about contributing to your registration fee. Have you done this and to whom have you spoken? Yes No How much money is your local church contributing to your registration fee? How much money are you requesting from the conference scholarship fund for your registration fee? Have you received conference scholarship assistance in the last 2 years? Additional information you would like to share: The Dakota Conference does not want money to be the reason you miss retreat and will try to do what they can to help. Scholarship applications and results will be kept confidential. Submit