Transcendental Meditation | Scholarship Application Form
Sign in to Google to save your progress. Learn more
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. *
How did you hear about us? *
First Name *
Last Name *
City, State & Zip Code *
Phone Number *
Email Address *
How would you prefer to be contacted? *
Reasons for wanting to learn TM (Are you a survivor of DV or Sexual Assault?) *
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.  *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of David Lynch Foundation.

Does this form look suspicious? Report