Scholarship Program

Full Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

When was your recent plant medicine experience?*

Please share about how your integration process has been like and what areas you have been struggling with*

What is your intention and goals for participating in this integration program?*

Please share why you feel you are a good candidate for the scholarship program. Feel free to include details about your current financial situation, background or other circumstances that will help us to evaluate your level of need.*

Would you like to be considered for the partial scholarship?*

YesNo

If Yes, please understand that this scholarship is for 50% off the tuition of the full program and you would be expected to contribute the remaining amount, either in 3 month installments or in one payment. Answer “NO” if you are not able to make this commitment and would like to be considered only for the full scholarship at this time.