FLOW scholarship

Complete by Nov. 30

* Indicates required field

Name *

First

Last

Name you would like to be called if different than above *

Gender/Pronouns *

Race/Ethnicity *

Email *

City/State/Country *

Age *

What inspires you to want to be a part of this program? What are you hoping to learn/experience? *

Have you taken a similar program before? With whom? What did you like or dislike about it? *

How did you hear about this program? *

What hardships or unique situation leads you to request a partial scholarhip? *

How much are you willing and able to pay for this program? *

40% off ($750) 50% off ($625) 60% off ($500)

Share a little more about yourself (hobbies, work, etc)? Is there anything that will be helpful for me to know (triggers, etc)? *

By placing your initials below, you are saying that you acknowledge that this program is not and does not take the place of therapy and in no way should be a substitute to medical/mental professional help. *

By placing your initial below you are saying you have read and agree to the cancellation or termination policy stated on the FLOW webpage. *

By placing your initials here you are saying you agree to the all the policies on the Flow webpage. *

Any other comments? *

Thank you for taking the time to complete this form. Notifications will go out no later than Dec. 1. If you have any questions, email [email protected].

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flow scholarship

Complete by Nov. 30