Conference Scholarship Application

Building a Culture of Community:
Equipping Leaders for Mental Health Ministry

May 19-21, 2022

Application for Financial Assistance (excludes pre-conference)

All applicants of varying financial needs will be considered.

Instructions: To apply for financial assistance to attend Building a Culture of Community: Equipping Leaders for Mental Health Ministry, please fill out the online form. If you have questions, email ncpdevents@ncpd.org. Funding is available to ministry leaders on a first-come, first-serve basis. The deadline to apply is April 19, 2022. All applicants will be advised of a decision by April 29, 2022.

Scholarship recipients are not automatically registered. Applicants who receive a scholarship (50% or 75%) will be sent an email with a registration code and must register within five days after receiving this notification. Registering before notification of the scholarship being awarded will void registration. Scholarships are only for the registration fee.

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First Name *

Last Name *

Title/Position/Role *

(Arch)Diocese *

Parish *

Email *

Phone *

Why do you want to attend this conference? *

How will attending this conference impact your ministry/life? *

What are some ways that you will incorporate what you receive from this conference experience into your ministry/life? *

What action will you take in your leadership role to further mental health ministry? *

If I receive a scholarship, I will commit to be fully present at this conference throughout all sessions *

Yes

I understand that I am expected to stay involved in this conference via follow-up activities, including post-evaluation and conference call, when invited to do so. *

Yes

I understand that this scholarship award is only for the conference registration fee. *

Yes

By filling in my name, I am electronically signing this document. *

Date *

Month

Day

Year

Conference Scholarship Application

Building a Culture of Community:
Equipping Leaders for Mental Health Ministry

May 19-21, 2022

National Catholic
Partnership on Disability

Promoting the Meaningful Participation
of Persons with Disabilities in Church and Society