Spring Healing-Centered Course Scholarship Form

Full Name here:

Email:

What are you looking to get from this experience?

How do you feel this scholarship will support you?

Do you have experience doing intentional self-work or healing-work?

Did you take the Healing-Centered Education: Primer Course?

Do you have a history of or are experiencing mental health challenges?

Do you certify you are fit and able mentally, emotionally and physically to participate in this course & experience?

Do you have any accessibility needs we should know about for these sessions?

Is there anything else you'd like us to know about you?

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