Wild Woman: Scholarship Application, May 2024

Equity and Diversity Scholarships (full and partial) are available to women who are:

〰 Currently experiencing financial hardship
〰 A single parent
〰 Of First/Original Nations lineage (i.e Australian Indigenous or Torres Strait Islander
〰 Currently experiencing other challenges that limit their ability to participate without financial support

FULL and PARTIAL scholarships are available.

* PLEASE NOTE: If you are successful in receiving a scholarship, you must attend the program you applied for. We do not transfer scholarships. If you are no longer able to attend and request a transfer, you will be required to pay the full tuition of the new program.

Sign in to Google to save your progress. Learn more
Full Name
 *
Preferred Name
 *
Email
 *
Address, including state
 *
Phone Number
 *
Date of Birth
 *
MM
/
DD
/
YYYY
Have you previously attended a program with Britt or any other deep nature connection program?
 *
If yes, please describe the program in brief.
Do you identify as a First/Original Nations, Australian Aboriginal and/or a Torres Strait Islander woman?
 *
Are you a single mother?
 *
Would you describe yourself as disabled or do you have an ongoing illness? For example: You on a disability pension and/or you are experiencing a life-altering illness.
 *
Are you currently experiencing financial hardship? For example, loss of income or employment, homelessness or housing challenges, single parenting on a low income, legal matters etc.
 *
If you answered yes, can you tell us a bit more about your current financial circumstances? We understand that sharing this information can feel vulnerable. All answers are received in full confidentiality, compassion and non-judgement. You are welcome to keep this brief.
 *
Can you tell us why you'd like to join Wild Woman? For example, what would this program mean for you? How might this program support you?
 *
Can you commit to attending the duration of the immersion? The immersion is from the 2nd -11th May 2024. If you are currently employed, you will need to take this whole time off work. Please consider your answer wisely, if you receive the scholarship and then decide to pull out/transfer last minute, this means that another woman-in-need misses out on the available scholarship spot. As such, we kindly ask that you 100% commit to the immersion in May 2024 if you receive a scholarship. Please do not apply if you are uncertain that you can actually attend, even with a scholarship.
 *
Anything else you wish to tell us?
How did you find out about Wild Woman: The Immersion?
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brittany Laidlaw. Report Abuse
Google Forms