Application for partial scholarship to receive the guide for $25 (Regularly $99) UNDERSTANDING AUTISM IN WOMEN: An Online Guide by Julie Bjelland, LMFT
This guide is important and I don't want anyone to feel like they don't have the financial means to access it. If you struggle with housing or food security, you can apply to access the guide at a discount.
Sign in to Google to save your progress. Learn more
Email *
Name *
Please let me know why you want access to this guide.  *
Do you struggle with housing or food security?  *
Do you understand this scholarship is to receive the guide for $25 (Regularly $99)  *
What would it mean to you to receive this guide? *
In exchange for a reduced scholarship rate, could you share a testimonial/review or let others know about the guide to help us spread awareness and education?  *
Is there anything else you would like to share?  *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of juliebjelland.com.

Does this form look suspicious? Report

Google Forms