Scholarship Application

Please fill out the application below to be considered for the Empowered Intuition partial scholarship.

Name

First Name

Last Name

Subject

What are you struggling with right now that you are ready to change?

Have you worked with a coach or therapist before? If so, what was the outcome?*

What kind of results are you looking for? What is the best possible outcome you're hoping to achieve?*

What makes you the perfect candidate to receive this scholarship?*

On a scale from 1-10, with ten being the highest, how committed are you to your personal growth and healing journey?

I've completed the application and would like to be considered for the Empowered Intuition Scholarship. At this point, I understand I am only showing interest and am under no obligation to enroll. If invited to receive the scholarship, I am committed to doing everything I need to do to get 100% from the program.

I agree

I disagree