Potential Initiate Considerations for Partial & Full Scholarship (based on funding availability)

Please complete this form to enable us to consider your level of alignment and intention in this container. 


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Email *
Name *

Are you at least 18 years of age?

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Address *
Social media handle(s) *

How did you hear about Yoni Code?

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Have you ever attended a retreat/workshop, or worked 1:1 with Elena Lakay?

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What is/are your personal goal(s) for taking this course?

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What is your income level?
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What is your relationship with your womb?

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What is your moon/period like?

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How do you currently track your cycle?

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Are you confident in planning/avoiding pregnancy?

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Do you practice self ceremony? (some call this masturbation)

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How often do you orgasm?

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Are you currently partnered with anyone?

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Why is enrollment in this program something you feel strongly drawn to?

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What are some of the elements of this program that are most important to you?

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What are you hoping to learn during this program?


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How do you envision this initiation will elevate and empower you in your life?

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Are you willing to share your experience/testimony with others through contributing to our social media campaigns 

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How will you integrate, apply, and channel what you receive and learn here?

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Is there another Sister you would like to nominate for the scholarship program?

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Are you prepared to commit to attending every class with camera on, mindfully and thoroughly do the work to complete each assignments given, and engage consistently as an active participant in the class + a testimonial after each module?

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Are you able to afford the tools required for the course, including thermometer, books, printed paper charts, pen, etc.?

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Do you have special skills, time, or talents you would like to contribute in order to support the experience of this inaugural cohort for yoni code?

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If yes, what gifts will you share?

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What is your dream or vision for black girls/women as it pertains to sexuality, reproductive health, love, and/or purpose (150 words min)


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If selected for the partial scholarship, are you prepared to pay your first good faith payment towards your scholarship balance within 48 hours of being selected? (payment arrangements range from $25-$150 per month over 6-12 months), depending on partial scholarship amount) *
Will you be attending the live in-person practical (final module) of Yoni Code; April 18-22, 2024 in Los Angelas, CA. 
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