Relief From Within Application

Relief From Within Application

To learn the Transcendental Meditation technique at a reduced rate, donation based, or scholarship—all information kept private and confidential.
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
City / State*
Zip Code*
Age*
Birthdate*
Are you currently employed?
Occupation*
Full scholarships may be available to the special categories listed below. Please select if one of these applies to you:

Military veteranFrontline medical worker/healthcareEMSFirefighterPolice/law enforcementSurvivor of domestic violenceSeverely impacted by Hurricane Helene
How did Hurricane Helene impact you?
TM Course fees are based on your annual HOUSEHOLD income. Please select your income category:*

$200,000 + (Standard course fee: $980)$100,000 to $199,000 (Reduced course fee: $880)$50,000 - $99,000 (Reduced course fee: $780)$30 to $49,000 (Reduced course fee: $540)Under $30,000 (Course fee determined case-by-case)
SELECT YOUR COURSE FEE: Please pay as much of the TM course fee as you can so that our scholarship fund can go further and support as many as possible who need to learn TM, especially those most in need. Half of the standard TM course fee goes to help someone learn who cannot afford to pay—veterans with PTSD, survivors of domestic violence, and others at risk from traumatic stress.
I can pay:*

$100 per month for 4 months (or $400 at once)$75 per month for 4 months (or $300 at once)$50 per month for 4 months (or $200 at once)I request further financial help (may be available to those whose household income is under $50,000, were severely impacted by Hurricane Helene, or to those under more extreme financial constraints). Scholarships subject to approval by our finance board. Feel free to contact us any time to check on the status of your application.$ Other: ___________ per month for 4 months
If you are unable to pay at least $50 per month for four months, and you request further financial assistance to learn, what are your circumstances?
Signature*
Please verify that you are human*
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