Scholarship Application
All MOOXLI Retreats are Certified for 20 Class A CE Credits
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Email *
First and Last Name *
Education Program Attending if a student or resident - (Program Name and Location) *
Degree You are Completing/Completed *
If you are not currently a student or resident, what is your current healthcare degree (can put NA if resident or student) *
If you are not currently a student or resident, how many years have you worked under your current healthcare degree (can put NA if resident or student) *
How did you hear about the Mooxli Scholarship Program? *
What Year are You in Your Program? *
Retreat You are Applying for Scholarship to Attend (check out @mooxli on instagram highlights and mooxli.com/events for all kinds of details) *
Share two to three sentences about why you want to join Mooxli on retreat and why you need this scholarship? *
I understand that if I am selected to receive this retreat scholarship from Mooxli that the scholarship is nontransferable and has no cash value. I understand that I will be required to complete the FREE retreat registration and select and pay for retreat housing within 14 days of being notified that I have received a retreat scholarship. I understand that I am responsible to pay all my travel and lodging costs and all food costs not included in the FREE retreat registration. I understand that if I am no longer able to attend the retreat, I must notify Mooxli 90 days prior to the retreat. I understand that notification less than 90 days prior to retreat start will result in any housing money paid  to become non-refundable. I understand that in sharing my email address and applying for a scholarship I am agreeing to receive email updates and marketing emails from MOOXLI. *
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A copy of your responses will be emailed to the address you provided.
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