10 Series Structural Integration Scholarship Application
This Scholarship is geared towards making holistic bodywork more accessible to people who may otherwise be unable to afford it. There will be no discrimination nor preference placed on age, race, gender, or sexual orientation. If you feel you are a person who is both motivated in stepping into your healing journey and is otherwise unable to access such services without this added support - please fill out the following questions. There will be 3-4 scholarships offered each year to those who are a good fit. 
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Today's Date *
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Name *
Phone *
Email *
Are you familiar with or have experience with Rolfing Structural Integration, or another kind of holistic bodywork?  *
Are you local to the Columbia River Gorge?  *
Please tell me more about your interest in completing the Structural Integration 10 Series and the benefits or changes you are hoping to experience.  *
Do you have any major health history (surgeries/accidents/illness, etc) that I should be aware of that may impact or benefit from our work together?  *
What kinds of mindfullness, health/wellness, or movement practices do you commit to in your day-day life?  *
What is your current relationship with your mental, emotional, and physical health? How do you experience your relationship to your body?  *
This style of bodywork can, at times, stir up some things physically, mentally, or emotionally. Do you have a good support system in your life to help you if needed? This can include a strong connection to self/routine/resource or self care activities, pets, friends or family, etc. *
Due to the progressive nature of the series it is helpful to attend sessions regularly through the 10 sessions. Are you prepared to commit to completing the full 10 series in a 3-6 month time frame? This would mean attending 2-4 sessions per month.  *
This Scholarship is geared towards making holistic bodywork more accessible to people who may otherwise be unable to afford it. Can you please share more about how this scholarship will be helpful to you? *
Scholarships cover 25% or 50% of session costs. Please select which scholarship best fits your needs. *
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Are you willing to write a review/testimonial of your experience in the 10 series? This testimonial can be public or anonymous.  *
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