SGA/MHJAC Gift & Scholarship Application

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Thank you for your interest in this program . If you have not already done so, please review the guidelines before completing this application. If you have questions about the guidelines, application process, or are seeking help with our other offerings and programs, please reach out to tapping@ece.gatech.edu.

If you have never watched/participated in a Tapping workshop, please consider reviewing some of these as you apply.
Peaceful Heart Network's Presentation: https://tapping.ece.gatech.edu/peacefulheartnetwork
Sensory Based Stress Management Workshop Replay: https://mediaspace.gatech.edu/media/t/1_7koammx8

We look forward to your participation!

First Round of Deadline: December 22nd

Email address *

Your First or Preferred Name *

Your Last Name *

Please retype your email to confirm (rather than copy/paste.) *

Your Phone Number (optional)

Your Department

Your Role or Experience On/Off Campus

I am applying for the following (select one.). For more details, please visit the website:
https://tapping.ece.gatech.edu/mhjac-gifts/
*

The "Overview of Polyvagal Theory for the Newly Acquainted" online course, by PVI

"The Science Behind Tapping" (paperback), by Dr. Peta Stapleton

"The Science Behind Tapping" (hardcover), by Dr. Peta Stapleton

A Singing Bowl from Dharma Shop (rental)

Other:

IF we can make some, would you be interested in a mousepad

Not interested at all

Would love to have one

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Please share with us, why you are interested in , and how you intend to apply what you learn to your life and/or the live of others. (300 words or less) *

Please share with us, how this gift may help and support you or your community at this time. (300 words or less) *

Is there anything else you would like to, or can, share? (Optional)

Every GT campus partner receives a free sticker! Please send us your mail-code and how many stickers you'd like to have campus-shipped.

I understand and agree:
(Please check every box below to complete your application.)

If awarded, I will handle the item(s) awarded or loaned with respect.

If awarded, I am open to sharing feedback and utilize the learning to reflect the benefits to better the community.

Other:

Please click "Submit" below to complete your application.
You should see a confirmation message. Thank you!

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