Live for Vitality: Scholarship Application
Applications will be processed and evaluated by our team. You can expect to hear back from us around 7-days after you apply. All the information you provide is securely maintained and is kept strictly private.
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Email *
First Name: *
Last Name: *
Date of Birth: *
MM
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DD
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Age: *
Nationality: *
Country of Residence: *
Mobile Number: *
Identities (Gender, Race, Ethnicity etc) *
Optional. Please share any identities you would like to.
What is your average annual income? (Household) *
What do you do for work? *
Do you have an experience with cleansing/fasting? *
If yes, please share your experience:
What challenges are you currently working through? *
Please write a paragraph.
What benefit do you believe the Online Cleanse will bring you? *
Please write a paragraph.
If we are not able to offer you a Full Scholarship would you like to be considered for work-exchange? *
Required
Work Trade Hours:
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: *
How did you hear about this life-changing opportunity? *
Are you part of any other Live For Vitality Programs? (Now or in the past) *
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