Yoga Training Scholarship Application

Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How Did You Hear About Us? *

Facebook

Instagram

Google Search

Referred by a Friend

Which Program Are You Applying For? *

Please select one of the options below.

200hr Online Yoga Teacher Training

300hr Online Yoga Teacher Training

Which Program Session Are You Applying For? *

Please select one of the options below.

Session 1 (January-June)

Session 2 (July-December)

Conscious Exchange Agreement *

I agree to honorably participate in the Conscious Exchange Program

Acceptance of Terms *

By checking this box I certify that all the information I have provided is complete and accurate and that I have given a full disclosure of my financial status. I understand that all the information in this application will be kept strictly confidential and only used to determine my eligibility for a scholarship. I acknowledge that accepting the scholarship may disqualify me from other tuition-based discounts.

Date *

MM

DD

YYYY