Scholarship Application: Dear Seeker, Welcome, we’re so glad you’ve found your way here. The Life Beyond Addiction Foundation exists for you—for the brave, the open-hearted, and those ready to step deeper into healing. We know the path of recovery can be both sacred and difficult. And sometimes, the very programs or retreats that could spark true transformation feel out of reach financially. That’s where we come in. LBAF is here to help bridge the financial barriers you may be finding in accessing recovery modalities worldwide. Whether it’s a workshop, a retreat, a training, or a healing experience from trusted leaders in the recovery world, we’re here to assist those financially challenge in gaining their recovery goals. We warmly invite you to apply for support. Every application is read with respect and care. Please answer the questions as fully and honestly as you can—this helps us understand your heart, your story, and how we might serve you. We respond to every application, and everything you share with us will remain confidential. If you are selected to receive aid, please know that in keeping with our commitment to transparency—and in accordance with state and federal nonprofit guidelines—your name, the amount granted, and the program or organization receiving the funds will be publicly disclosed. We share this only in the spirit of integrity and stewardship. We believe your healing is not just for you—it’s for all of us. Thank you for your courage, your trust, and your willingness to grow. We’re honored to walk alongside you, however we can. With respect and hope, The Life Beyond Addiction FoundationName First Last PhoneEmail Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country GenderMaleFemaleOtherAgeAre you in recovery from any addictions? Yes No How long have you been sober, clean or abstinent?Please list them and list your recovery dateAre you part of any recovery fellowship? Yes No If yes, Please list the name (ie AA, NA, GA, R20)Funding InformationPlease provide the following information regarding the company, organization or entity on whose behalf you are seeking funding to attend. Name Company Phone NumberCompany Email Website Describe the services of event this funding will support, including the cost and location.What is the total amount of funding you are requesting.Percentage of Tuition Covered: Based on the amount you are requesting, what percentage of the total program cost would this scholarship cover? (For example, if the program costs $5,000 and you’re requesting $2,500, the scholarship would cover 50%.)100%50%25%OtherIf other please write out the percentage.Please enter a number less than or equal to 100.Please explain any plans you have for covering the remaining balance (e.g., personal funds, other scholarships, payment plans, etc.).What is the amount for Tuition Travel Room & Board Other Can be multiple selectionsif other, please write below the purposeDate the funds are needed by MM slash DD slash YYYY Please tell us about your personal path in recovery — Share why this specific program you wish to attend feels aligned with your next step, and how attending will support your continued growth. We also ask that you briefly describe your current financial situation and why the scholarship funds you are seeking are necessary for you to attend. Finally, reflect on how your participation in this program will not only benefit you, but also support the recovery of others in your community.Would you be willing to share accommodations if needed with the same sex? Yes No Would you be willing to volunteer your time if needed in exchange for funding? Yes No Applicant Declaration: I hereby certify that all the information provided in this application is true and correct to the best of my knowledge and belief. I understand that I am applying for assistance from a public charitable fund, and that any intentional misrepresentation may be subject to penalties under the laws of the State of California and applicable federal laws, including those related to perjury. By submitting this application, I agree to the above and affirm the truthfulness of my responses. 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