Optional. Please share any identities you would like to.
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What is your average annual income? (Household) *
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What do you do for work? *
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Do you have an experience with cleansing/fasting? *
If yes, please share your experience:
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What challenges are you currently working through? *
Please write a paragraph.
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What benefit do you believe the Online Cleanse will bring you? *
Please write a paragraph.
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If we are not able to offer you a Full Scholarship would you like to be considered for work-exchange? *
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Work Trade Hours:
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5
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20
Work Trade Type:
The Live for Vitality Facebook Group is a significant aspect of this community. You are expected to engage on it multiple times weekly. Do you have a Facebook and can you maintain this type of community participation? If no, please explain: *
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How did you hear about this life-changing opportunity? *
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Are you part of any other Live For Vitality Programs? (Now or in the past) *