"Meet Someone Along The Way" Scholarship Fund Intake Questionnaire

Personal Information

Thank you for your interest in applying for the Healing Scholarship Fund. This scholarship aims to support individuals in their healing journey. Please complete the following questions thoughtfully.

First name

Last name

Birthday

Month

Day

Year

Phone

Position

Gender

Ethnicity

Background Information

What type of healing services are you seeking? (e.g., retreat, spiritual counseling, energy healing, etc.)

Have you previously received any healing services?

If yes, please describe your experience.

If no, why do you feel now is the right time to begin your healing journey?

Response

Understanding of Healing

In your own words, what does healing mean to you?

Why is healing important in your life right now?

How do you think this scholarship will impact your healing journey?

Personal Story & Motivation

Please share a brief story about a challenge you have faced that has led you to seek healing.

Why do you believe you should be chosen for this scholarship?

What are your intentions for your healing journey if you receive this scholarship?

Commitment

Are you able to commit to attending and participating fully in the healing services you seek?

Community & Future Impact

How do you plan to give back to your community after receiving healing?

How would receiving this scholarship help you in contributing to the collective healing of others?

Social Media & Outreach

How did you find out about the Healing Scholarship Fund?

Do you follow us on social media?

Yes

If yes, please list your username/handle.

Handle

One requirement of this scholarship is to help spread the word by liking and sharing our posts on social media. Are you committed to fulfilling this requirement?

Yes

If no, please explain why.

Additional Information

Is there anything else you would like us to know?

Letter or Video of Interest

Here is your chance to express your truth by creating a letter or a video of interest. Let us know who you are and what inspires you. Why does support mean to you? Why are you worth the investment? What would it mean to for you right now in life to have someone meet you along the way?

Our, "Meet Someone Along The Way," Scholarship Fund is geared to meet others who are in need. Sometimes a simple gesture of support can truly change the life of those in need.

Long answer

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