Unmasking Mindfulness Application

Unmasking Mindfulness is an 8-week meditation program that utilizes live online webinars, educational video content, and in person one-on-one instruction to provide a platform for coping tools in the CF community. Unmasking Mindfulness educates the CF community on how to practice mindfulness and meditation with a proven scientific based method.


INSTRUCTIONS TO APPLY:
*Applicants are required to provide all of the following documents in order to be considered

1.   Application
       -  Fill out in full.
   
2.    CF Verification Letter from social worker or doctor
        - Your CF social worker or doctor needs to personally write a verification letter (on hospital letterhead)
confirming CF diagnosis
        - Emailed directly to UM@pipersangels.org from their work email.

3.    Photo Submission:  Send One (1) Photo of what the reality of CF looks like for you.  These photos serve the purpose of enlightening and educating people to the realities of life with CF and thus inspiring more people to donate to the Piper’s Angels Foundation programs to help more CF families in need.

       -  MUST be JPG or PNG files.  NO PDFs

       -  Must be original raw photos.  Cannot have filters, be edited, or be a screenshot.

       -  1 photo of what the reality of cystic fibrosis looks like for you

       -  Email to UM@pipersangels.org  with applicants name in subject line and the word PHOTO

**For individuals with privacy concerns please email us if you are not comfortable submitting your photo. We respect your needs and boundaries and this will not hinder you from receiving the grant/program participation.  


4.   Photo/Video Release Form
        - Must download and SIGN  "PAF Photo Release Waiver" from website.
        - Email form to UM@pipersangels.org.  
        - Don't forget to include applicant's name in the subject line.

5.  Release of Liability Waiver
       - Must download and SIGN  "Release of Liability Waiver" from website.
       - Email back with your photos to UM@pipersangels.org.  
       - Don't forget to include applicant's name in the subject line.

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Email *
First Name *
Last Name *
Date of Birth *
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YYYY
Age? (Must be over 18 yr to apply) *
Phone Number *
Email Address *
Street Address *
City *
State *
Zip Code *
Country *
CF Care Center Name *
What is your relation to cystic fibrosis? *
CF Care Center City *
Who were you referred by? *
If 'Other' Referral please enter here:
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