SCHOLARSHIPS ARE CURRENTLY AVAILABLE FOR CALIFORNIA FIRST RESPONDERS AND RESIDENTS OF LOS ANGELES DISPLACED BY THE WILDFIRES
First Name *
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Last Name *
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Current Zip Code *
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Phone Number
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Zip Code at the time of the fires (if different)
Your answer
Reason for wanting to learn TM
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Are you a Firefighter, EMS, Police Officer or First Responder Family Member?
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Firefighter
EMS
Police Officer
First Responder Family Member
Other First Responder
None of the Above
Please share how you were affected by the wildfires? *
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Where did you learn about the TM Scholarship Program?
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To gauge the impact of this initiative, we will send a short online survey to people one month after they learn TM. It's fine if you don't want to get the survey (we realize surveys can be annoying.) *
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I can commit to completing the three minute survey
No thanks; I will just learn TM
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This form was created inside of David Lynch Foundation.