JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bursary Application Form
*PLEASE READ* Bursary placements are only applicable to our personal programs on a
pay-what-you-can
basis towards the cost of the program
and can
only
be used for personal health and well-being purposes.
We will contact you directly with registration details.
Eligibility for the Bursary Program
:
Individuals who are currently experiencing financial hardship AND/OR
Individuals
who are part of underserved populations
(i.e. Indigenous, BIPOC, 2SLGBTQIA+, people living with disabilities, newcomers, etc.)
and c
urrently experiencing financial hardship
Ontario residents only
.
Please note:
You can only
apply for one program at a time
, as participation in programs cannot overlap. Once you complete a program, you may return to this
bursary application form
as upcoming dates are updated frequently.
If you have other questions regarding the Bursary Program, please email info@mindfulnessstudies.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Do you intend to take this program for personal health and well-being?
*
Yes
No
Please confirm that you meet the following eligibility criteria:
*Being a resident of Ontario is a requirement to proceed with this application form*
*
Financial hardship
Part of underserved populations (i.e. Indigenous, BIPOC, 2SLGBTQIA+, people living with disabilities, newcomers, etc.) and currently experiencing financial hardship
Reside in Ontario, Canada
Required
Please note your postal code
*
Your answer
Have you applied to the Centre for a bursary before?
*
No
Yes
If yes, what program have you taken?
Your answer
The bursary program is
pay-what-you-can
. Please enter the
exact
amount you are able to contribute toward this program (ex. $15, $50, $100, $250+)
*Please note we request a minimum of $15
*
Your answer
What program are you requesting to take? Kindly select the start date
Please note that you can only apply for one program at a time as participation in programs cannot overlap. Once you complete a program, you may return to this form, as upcoming programs are updated frequently.
*
MBSR Online (Wednesday mornings) - August 21 *Registration Deadline: August 14
MBCT Online (Tuesday evenings) - August 27 *Registration Deadline: August 20
MSC downtown Toronto (Wed evenings) - September 18 * Reg. Deadline: Sept 11
MBCT downtown Toronto (Thurs evenings) - September 19 * Reg. Deadline: Sept 12
MBCT Online (Wednesday evenings) - Sept 25 *Registration Deadline: Sept 18
MBSR Online (Thursday evenings) - September 26 *Registration Deadline: Sept 19
Deeper Mindfulness (Monday afternoons) - Sept 30 *must have participated in 8-week MBP
MBSR downtown Toronto (Tuesday evenings) - October 8 * Reg. Deadline: Sept 30
MMAU Online (Wednesday evenings) - October 16 *Registration Deadline: Oct 4
MSC Online (Tuesday evenings) - October 25 *Registration Deadline: Oct 1
Deeper Mindfulness (Saturday mornings) - Oct 26 *must have participated in 8-week MBP
Where did you hear about our Bursary Program?
Newsletter
Social Media / Website
Doctor / Clinician Referral
Friend / Family
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Centre for Mindfulness Studies.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report