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Scholarship / Financial Aid Application

As part of our nonprofit mission Breakthrough provides discounted tuition to men experiencing financial challenges.

Through the generous donations of our alumni, friends of the program, and other philanthropic partners we can offer a limited amount of scholarship funds each year.

Please complete the application below and the Breakthrough Enrollment Manager will respond to you to process your application and determine the amount of assistance available.

Scholarship Financial Aid is awarded on a case by case basis and is not guaranteed.

First Name*

Last Name*

Email Address*

Address, line 1*

Address, line 2

City*

State*

Zip Code*

Cell Phone*

If you were to pay for the workshop in one payment, what is the most you could afford to pay at this time?

If you were to pay for the workshop in 8 payments, what is the most you could afford to pay each month?

Maximum amount you can afford to pay as one payment*

What is the maximum monthly payment you can afford*

Please tell us a little about your current situation and the reasons you are applying for financial aid.

Application Narrative*

I understand I am requesting financial aid from Breakthrough*

Yes No

I agree to complete workshop if awarded financial aid

Yes No

Submitting this application, I agree that the information is correct and accurate to the best of my knowledge. I agree to be contacted by Breakthrough Men's Community in regard to this application for the explicit purpose of arranging tuition assistance for my enrollment in the Breakthrough workshop.

Submit Application

Scholarship / Financial Aid Application

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