Mindful Return's Balancing a Career with a Special Needs Baby E-course Scholarship Application
Please fill out and submit your answers to the questions below to be considered for a full or partial scholarship for our next upcoming e-course. Details of the e-course are available on MindfulReturn.com/specialneeds. If you have any additional questions, please email
What is your first and last name?
What is your email address?
What city, state/province, and/or country do you live in?
Where did you learn about this e-course?
Are you applying for a full or partial scholarship for the e-course? (E-course value is $199)
Partial scholarship (50% off)
Can you briefly describe why you are interested in taking this e-course?
How might this e-course help you either in your work or at home?
Can you please briefly describe your professional background? (And yes, being a stay at home parent counts!)
If you enjoy the e-course, in what ways might you be willing to help other great parents find Mindful Return courses? (Check all that apply)
Write a testimonial
Contact my HR person about offering Mindful Return courses as a parental leave benefit
Share the e-course page on social media
Tell a friend
If awarded this scholarship, can you commit to being an active participant in the e-course?
Thank you for filling out this application! We will be in touch shortly with your status. In the meantime, is there anything else that we should know about you?
Never submit passwords through Google Forms.
This form was created inside of Mindful Return, LLC.
Terms of Service