Grant Request Form — Couples Marriage Ministry

GRANT REQUEST

Our mission is equipping couples with simple tools for a thriving marriage. We want every marriage to have access to the tools they need to thrive. We realize that finances are oftentimes a barrier for couples getting helpful tools, which is why we have established a resource cup to help when there is a need.

We offer partial and full reimbursements for therapy (both couples sessions and intensives), connection experiences (date nights and overnights), resources (books, courses, or seminars), and scholarships to all of our events, retreats, and trainings.

Simply fill out the form below and we will reach out to you via text or email in regards to our scholarship, grant, or reimbursement process. In some cases we will pay the vendor directly, and in others we will reimburse you upon a submitted receipt.

Your Name

First Name

Last Name

Your Email

Your Phone

(###)

###

####

Spouse's Name

First Name

Last Name

Spouse's Email

Spouse's Phone

(###)

###

####

We would like to request a grant or scholarship for:

Check all that apply

Event

Date Night(s)

Overnight(s)

Tools or Curriculum

Therapy Sessions

Intensive Therapy Retreat

For each checked box, please include the following applicable information:

• Event name • Amount of Date Nights • Overnight(s) plan and description • Name of resources, curriculum or seminar • Name/contact info of the therapy group and amount of sessions requested • Name/contact info of the therapy group and dates of the intensive The more information you can provide, the better we can serve you financially!

For each checked box, please include the dollar amount of your financial need:

For reference, we typically budget $75 per date night, and $300 per night for an overnight.

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