Bethany House of Prayer is committed to making our programs and retreats accessible to all. If cost is a barrier, please complete this brief application so we can consider your request for financial support.

Name

First Name

Last Name

Phone Number

(###)

###

####

Retreat Name & Date

Please list any financial barriers that are currently preventing you from participating?

Unemployed/under-employed (part-time/seasonal)

Medicaid/Masshealth, SNAP beneficiary

Student

Fixed income

Other

Tell us how much you can provide towards the program cost.

Is there anything esle you'd like to share about your circumstances or what this opportunity means to you?

Program Assistance

Program Assistance Form

Thank you for your application. All applications are reviewed with prayerful discernment and loving care. You’ll hear from us soon.