Application form: Neuro Restore - Young Women Sponsorship

Application form: Neuro Restore - Young Women Sponsorship

Supporting the next generation of women through nervous system care and holistic wellbeing. A 12-month sponsorship designed to support nervous system health, nurture the brain–body connection, and build resilience, confidence, and long-term wellbeing during important developmental years — empowering young women to thrive in life.
It is essential that this form is filled out by the applicant, not their parents, coach or anyone else. Although Parental engagement is supported during the sponsorship, the application needs to be genuinely applied for by the applicant.
Your Name*

First NameLast Name
Date of birth. *

DayMonthYear
Date
How old will you be on the 31st December 2026?*
This application is for young women under the age of 20 on this date.
Email*
example@example.com
Phone Number
Study/schoolSportCreative pursuitsPersonal DevelopmentWellbeingOther
It is essential that this form is filled out by the applicant, not their parents, coach or anyone else. Although Parental engagement is supported during the sponsorship, the application needs to be genuinely applied for by the applicant.
What made you interested in this sponsorship?*
What is it about this opportunity that stood out to you?
I’m actively working on my personal growthI know I want to grow but don’t know where to startI’m curious and open to learningI’m not sure yet, but this feels rightOther
YesI think soI'd like to learn more
YesNot yet, but I will discuss itNot applicable
How did you find out about the Neuro Restore Young Women Sponsorship?(Instagram, referral, event, word of mouth, other)*
Goals and Visions:

Share your goals and vision for the future. Dream big! Theres no right or wrong answers here.
For the next 12 months, whats your main focus, goals and dreams?*
For the next 2 years, whats your main focus, goals and dreams?*
For the next 10 years, what would you like to be, do and have?*
Motivation and Mindset:

Share your goals and vision for the future. Dream big! Theres no right or wrong answers here.
What would it mean to you if you were selected for this 12 month sponsorship?*
What does success look like to you, not for your coach, not for your parents, but for YOU?*
Tell us about a time that you found really hard, yet you pushed through anyway.*
What inspires you to be the best version of yourself?*
Program commitment:
If I am selected. I can say yes to all of the below:
- Commit to the full 12-month programme 1st April 2026 to 31st March 2027
  (If leaving early, the sponsorship cannot be transferred to another person.)
- Attend scheduled NIS sessions around her own commitments and education/work.
- Follow mutually agreed nutritional guidance.
- Wear Neuro Restore apparel when appropriate.
- Be open to sharing parts of her journey or achievements through social media or website features
- Communicate respectfully and consistently throughout the year
yesno
Final thoughts: If there anything else you'd like to let us know?
Thank you for taking the time to fill in this application.

All Applicatants will be carefully considered.

Applications will close on 9pm 15th March 2026

All applicants will be notified of the outcome on or before the 29th March 2026

The sponsorship period is for 1st April 2016 through to 31st March 2027
Should be Empty:

Application form: Neuro Restore - Young Women Sponsorship

Goals and Visions:

Motivation and Mindset:

Program commitment: