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Community Healing Scholarship Application
Thank you for your interest in working together! Please fill out this form and I will respond within 3 business days to schedule a free phone consult to discuss your application. If scholarship appointments are currently filled, I will place you on a wait list and notify you when appointment space becomes available.
Email & Phone number
What do you need support with?
Why is this option right for you?
Why do you think I'm the right person to support you?
Are you able to commit to all 6 sessions?
Please share any questions, concerns or thoughts you might have
Send me a copy of my responses.
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