The Compassionate Listening Project Scholarship Request Form

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Thank you for requesting a scholarship from The Compassionate Listening Project! Accessibility is important to us, and we strive to make these offerings available to those who have limited financial resources.

We do not share any of your information with third parties, and will only use it to contact you regarding your application and/or registration. Please reach out to us at staff@compassionatelistening.org with any questions.

Email *

Today's Date: *

YYYY

Name (First and Last) *

Phone Number *

City of Residence *

Country of Residence *

What is the name of the workshop you would like to attend? *

Please type the name of the workshop exactly as it appears on our website. Please note that if it is not clear which workshop you are applying for, we cannot complete your scholarship request.

What are the dates of the workshop you would like to attend? *

Often there are multiple instances of a particular workshop scheduled. Please include the dates of the workshop you are applying for.

What amount are you able to offer for this workshop? *

We acknowledge an under-representation of BIPOC (Black, Indigenous and People of Color) in Compassionate Listening, and one of the ways we are striving to change this is to prioritize scholarship applications from self-identified BIPOC. Do you identify as a Black or Indigenous person, or a Person of Color? *

Yes

I prefer not to answer.

Other:

We prioritize offering scholarships to those who will bring the skills of Compassionate Listening into their life's mission and work, professionally or otherwise. How do you plan to use the skills learned in this workshop?

Do you have any previous experience with Compassionate Listening? If so, where and when? *

How did you hear about this workshop? *

Anything else you'd like us to know?

A copy of your responses will be emailed to the address you provided.

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