Healing Scholarship application form Name * First Name Last Name Email * Please check the answer that best describes you * I am dedicated to my healing process I am new to the path of healing Please check the answer that best describes you * I do not have any means to pay for healing support I have some means to pay for healing support Please say a few words about why you should be considered for a healing scholarship * Please say a few words about how receiving this support will benefit you and the wider impact it will have * Please check the answer that best describes you * I am ready to get started with scholarship sessions right away I don't have free time to start the scholarship sessions at the moment Thank you for submitting your application for a Healing Scholarship or Empowered Healing Access Pathway application. Your application is being reviewed. You will receive a response in the next few days. In the case that there is no place available, your name will be added to a waitlist and you’ll be contacted when a place becomes available.Warmest wishes,Claudia
