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*SAVE THE DATE*
Donor Egg / Surrogacy & Adoption Connect & Learn Seminars

Saturday, January 28, 2012 - 9:00 am - 5:00 pm

New for 2012: Pay once and attend sessions from BOTH Seminars!

NEW PODCAST: The Fertility Forum: How to Survive Child-Centered Holidays, with our own Exec. Dir. Erin Lasker

 

Scholarship Application

Lisa Fenn Gordenstein Access Scholarships

These scholarships are offered in caring memory of Lisa Fenn Gordenstein.

We are committed to ensuring that your financial circumstances are not an obstacle to accessing the comprehensive programs and services offered by
RESOLVE of New England.

Applying for a Scholarship
Financial assistance from our Lisa Fenn Gordenstein scholarship program is available to cover the cost of household membership AND/OR the cost to attend our full-day programs (Adoption or Donor Egg Seminars, or our Annual Conference) or our half-day program (Beyond Infertility Treatment: What's Next).

Please follow these instructions carefully.

Step 1.  Scholarships for RESOLVE of New England Membership: If you are already a member, please skip this step. If you are interested in becoming a member of RESOLVE of New England, and enjoying a full year of membership benefits, please indicate Household Membership on the form below.

Step 2.  Scholarships to Attend a Full- or Half-Day Program: Members and non-members should indicate which program you would like to attend on the form AND also submit the completed Registration Form for the program you specify.

Step 3.  Submitting the Form: Please enter your information in the spaces provided below, print out the form, and fax or mail it to our office. Be sure to sign and date your application.

Mail:  395 Totten Pond Rd., Suite 403, Waltham, MA 02451

FAX:  781-890-2249

Email with questions:  admin@resolveofthebaystate.org
Call with questions: 781-890-2250

Scholarship Application

Name(s):
Address:
City:
State:
Zip:
Phone:
E-mail:
 

I am applying for the Lisa Fenn Gordenstein Access Scholarship for (indicate all options that apply to you at this time):
Household Membership, RESOLVE of New England - covers one full year (for individual or couple)
Annual Conference
Adoption Decision Making Seminar
Donor Egg Decision Making Seminar
Beyond Infertility Treatment: What's Next
   
  When you apply for the Gordenstein scholarship to cover program attendance, please check below the amount you are requesting, which best applies to your situation:

I require a 50% scholarship to cover registration fees. (Please also submit your program registration form with 50% payment.)

I require a 100% scholarship to cover registration fees.
   
I attest that my/our financial circumstances are such that I/we require financial assistance in order to attend the above-indicated RESOLVE of New England program and/or to become a member of RESOLVE of New England.
Signature:
 __________________________________________
Date:
 __________________________________________

 

 

 

 

 

Reminder:
If you are interested in a scholarship to attend an educational program, please submit at the same time the Registration Form for the program you are interested in attending - in addition to this scholarship application.
Questions?
Please email our office or call our Office at 781-890-2250.

If you would like to receive weekly email updates with
program and event information, please send us an email
with the word "Subscribe" in the subject line OR type your email address
in the "Join Our Email List" box and click on "Join."

395 Totten Pond Rd, Suite 403
Waltham, MA 02451

Telephone: 781-890-2250
Fax: 781-890-2249
email: admin@resolveofthebaystate.org
website: www.resolveofnewengland.org

Important Note: The information contained in this site is not intended to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Nothing contained in this site is intended to be a substitute for medical diagnosis or treatment.

© 2010 RESOLVE of New England
all rights reserved