Scholarship Application Form

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Thank you for wanting to participate in our upcoming event. We're delighted that you've considered spending the valuable resource of your time with us. At Mindful Therapy with Keri, we are committed to nurturing a diverse, inclusive, and accessible space. As such, we are delighted to offer partial scholarships, specifically for members of the BIPOC and LGBTQ+ communities.

To apply for this scholarship, please respond to the following questions thoughtfully and thoroughly. Your responses will help us understand your journey, aspirations, and how this event can serve as a catalyst for positive change in your life and your communities.

Email *

What is your full name? *

This scholarship is specifically for individuals within the BIPOC and LGBTQIA+ communities. Do you identify as part of one or more of these communities? *

Yes

Required

Please share why you are interested in attending this event. What about this offering resonates or aligns with your personal healing journey or professional aspirations? *

How do you feel this event would benefit you on a personal level? Share any specific aspects of your well-being or personal growth you wish to address through this experience.
*

How do you foresee being able to share any of the insights cultivated from this experience with your community / communities?
*

Would you like to share more how this scholarship to this event would feel supportive for you? *

Is there anything else you would like to share with me at this time? *

Thank you for taking the time to answer these application questions. We'll be in touch within 24-48 business hours.

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