Group Coaching Scholarship Application

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RELEASED offers financial assistance on a limited, first-come/first-served basis for individuals that demonstrate substantial financial barriers to accessing emotional health services.

Once you submit your application, Liza will be reaching out to you to confirm your application is under review and if/when funds are available.

If you have any questions, please reach out to liza@lizaheidelberger.com. Thank you for allowing me to be part of your journey toward healing and recovery.

Liza Heidelberger

Email *

Name

Phone Number

Please check any statement that is applicable to you.

Current Student (College, Grad School, or Doctorate program)

Veteran, Teacher or Ministry/Non-Profit

Receiving Medicaid or Medicare

Receiving financial assistance through government programs (ie: unemployment, SNAP, TANF)

Unable to work due to physical or emotional limitations ("I would work, but am unable to hold employment.")

RELEASED wants to partner with and support as many individuals as possible. What is the most you are able to invest in RELEASED services? (A suggested guideline is at least $25/session, or $100 for the 4 sessions.)

"I affirm that I have a significant financial hardship that prevents me from accessing emotional health services at this time." (To affirm this statement, please TYPE YOUR FULL NAME below.)

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