Thank you for your interest in a scholarship spot for the Neuroaffirming Goalworking course!
1 scholarship spot is available for each paid spot in the group. We approve as many scholarships as we can. You will receive an email from TraumaGeek@TraumaGeek.com with further information if you are accepted. 
Sign in to Google to save your progress. Learn more
The first 3 questions are very important - if you don't answer, you might not receive emails about the program. The last question is completely optional. If you are accepted, an email about the program will arrive in your inbox from Trauma Geek or from the course platform we use. 
What name would you like me and classmates to call you? What pronouns do you use? *
What email address should I use for reading assignments, class notes, and/or zoom links for the series?  *
If you were to pay the sliding scale price for the course would you be unable to afford necessities like rent, food, meds, etc? *
Would you rather participate live or via recording?
Why are you excited to join this initiative? What do you hope to get out of it?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms