JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Transcendental Meditation | Scholarship Application Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
TM scholarships for gender-based violence are currently only available through David Lynch Foundation offices in New York City, Los Angeles and Washington DC. Please let us know where you would like to learn.
*
Los Angeles
Washington DC
New York City
How did you hear about us?
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
City, State & Zip Code
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
How would you prefer to be contacted?
*
Email
Phone Call
Other:
Reasons for wanting to learn TM (Are you a survivor of DV or Sexual Assault?)
*
Your answer
Are you willing to complete a 3-minute
survey one month after learning TM? This voluntary and confidential surveys are crucial to the continuing funding of our survivors of Domestic Violence (DV) and Sexual Assault program. You will still be able to receive a full scholarship even if you decide not to participate in the surveys.
*
I am happy to complete the survey.
I prefer to decline, thank you.
Required
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of David Lynch Foundation.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report