YogaMedCo Internship and Scholarship Application Form

Scholarship Application Form

Application Deadline - May 31, 2022
Thank you for your interest in our YogaMedCo Scholarship and Internship Opportunities for the 2022- 2023 Academic Year. Please review the details carefullly before applying.
- To review the scholarship details please go HERE
- To review the internship details please go HERE
YogaMedCo does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, selection of interns, scholars, volunteers, vendors, contractors, staff or in the provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.
I. Personal Data:

Please tell us about yourself.
Full Name *

First Name Last Name
Birthdate: *

Month Day Year
Mobile No. : *

Area Code Phone Number
E-mail : *
Where the confirmation will be send to
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
II. Essays
Which opportunity are you applying for?
Why are you interested in studying with YogaMedCo? As part of your answer, please share which program/s you would like to complete (levels 1-6). (500 words or less)
Essay:

0/500
Why do you feel you should receive a scholarship and/or internship from YogaMedCo? As part of your answer please describe how support from YogaMedco can help you in your unique situation, and how you hope to "pay forward" our support to others in the future. (500 words or less)
Essay:

0/500
III. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that you agree to the terms noted above; that all information provided in your application is correct, and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature: *
Thank you for your interest in YogaMedCo! We look forward to reviewing your application.

Namaste

Dr. Suzie Carmack, CEO and Founder, YogaMedCo
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Scholarship Application Form

I. Personal Data:

II. Essays

III. Applicant's E-Signature