Healing Scholarship
Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Choose which Workshop you would like to attend.
Please Select
February-March 2025
May-June 2025
September-October 2025
Tell us a little about you.
Why are you interested in attending the Workshop?
How would this scholarship impact your ability to move forward on your healing journey?
What financial challenges are your currently facing that make you eligible for the scholarship?
Are you able to contribute a portion of the cost toward your participation in the Workshop? If so, how much?
What does receiving this scholarship mean to you?
Submit
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