Scholarship Follow Up Form  
 
Please complete the following form.
 
 

*All Fields Required

 
 
Date:
 
First Name:
 
Last Name:
 
Address:
 
City:
 
State:
 
Zip:
 
Home Phone:
 
Work Phone:
 
Cell Phone:
 
Email:
 
Referred By:
 
Please list the month & year you attended the following:
D1
 
D2
 
D3
 
Refocus:
 
Spiritual:
 
Have you referred anyone for D1?
 
If so, who?
 
Have you served on a TA team?
 
Have you watched the movie, Pay It Forward?
Have you made a tax-deductible donation to pay back all or part of your scholarship?
If not, are you able to make a contribution at this time to "pay it forward"?
Any amount ($10, $20, $50, $100) will help bless the lives of others.
What did Discovery! do for you? Share with us how your life has changed since attending Discovery!.The power of your personal testimony has the ability to save lives. People wanting to know what HOPE means will see it in your words. Please be specific and give detailed answers.
Spiritual:
 
Personal:
 
Relationships:
 
Career:
 
May we use your testimony on our website or brochure?
 
 
     
 
Discovery One
 
  D1 identifies the obstacles and experiences in your life that have prevented you from living a life that is REAL.  
 
Discovery Two
 
  D2 further develops the tools you need to get the positive results that you desire.  
 
Discovery Three Mission
 
  D3-MISSION uncovers your greatest assets and reveals your personal mission in life.  
 
Refocus
 
  Discovery! REFOCUS offers alumni who have completed the Discovery! series a chance to refresh and renew their life skills.  
 
Spiritual
 
  Discovery! SPIRITUAL is an annual gathering for alumni, training assistants, and facilitators who are seeking deeper meaning in their spiritual lives  
 
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