Community Caregiver Scholarship Nomination Form

HELP HOLLIS CARE FOR THE CAREGIVERS

Society preaches self care, but rarely is anything tangible provided that can make a real impact.
HOLLIS WANTS TO CHANGE THAT.

Hollis provides a welcoming environment and experience for groups and individuals seeking spiritual growth and renewal. However, those who take retreats are often already aware of Hollis and cognizant of their need to get away. Often times those in need of a physical, mental and emotional break are the caregivers; who are unaware of available resources or do not consider devoting time to self care.

NOMINATE A CAREGIVER THAT SERVES WITHIN YOUR COMMUNITY FOR A FREE 24 HOUR RETREAT AT HOLLIS

If chosen. we will contact your nominee, letting them know they have been chosen for a retreat and to contact us to schedule their reservation.
You will be blind carbon copied on the email informing your nominee of their retreat. We encourage you to reach out to your nominee, and encourage them to make the time retreat.

ARE YOU INSPIRED BY THIS IDEA?
Help us expand the reach of Christian hospitality and fund a 24- hour retreat for another Community Caregiver in need of time and space apart.
Click HERE to donate today.

Your support ensures Hollis continues to be relevant and sustained. Thank you!

Person Nominating

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Phone *

City *

State *

State/Province

Zip *

Postal Code

Country / Region

Community Caregiver Nominee

Please complete the form below to nominate a community caregiver to receive a retreat scholarship. After review we will contact you if your request has been approved or denied. Approved scholarship recipients will be contacted by Hollis via email. If you prefer to remain anonymous, we will respect that request. Thank you for supporting the mission of Christian hospitality, and for helping Hollis expand our reach into the Kansas City community.

Nominee First and last name * The field Nominee First and last name is required.

Nominee Email Address * The email field Nominee Email Address is required.

Nominee Phone Number * The phone field Nominee Phone Number is required.

Please explain your reason for your nomination of this individual. * The field Please explain your reason for your nomination of this individual. is required.

Do you want your nomination to remain anonymous? * The field Do you want your nomination to remain anonymous? is required.