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HAI Global PARTICIPANT Scholarship Fund application
Thank you for your desire to attend a HAI Global (HAI) workshop.
HAI is committed to increasing our equity and inclusion across our organization. We offer partial scholarships to participants on an as needed basis and as funding allows.
Some of our scholarships are designed for those attending our workshops for the first time. We also offer Diversity, Equity and Inclusivity (DEI) scholarships. Additional scholarship funding may be available depending on your circumstances. We will use the information provided below to determine which scholarship best fits your situation.
We are committed to serving the needs of a diverse community. We ask the demographic questions below to help us achieve that goal. All information is held in the strictest confidence. Once you have completed this form, a staff member will follow-up with you to let you know whether you were awarded a partial scholarship.
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* Indicates required question
Full Name
*
Your answer
Street Number and Address
*
Street number and street name
Your answer
City
*
The city in which you reside
Your answer
State, Province or Region
*
The part of the country in which you reside
Your answer
Country
*
Country
Your answer
Email address
*
In order for our staff to communicate with you
Your answer
Cell phone number
*
Please enter numbers separated by dashes or periods
Your answer
What is your age?
*
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
85 +
How would you describe your gender identity? Please mark all that apply.
*
Agender
Androgyne
Demigender
Gender Expansive
Man
Non-binary/Genderqueer/Gender Fluid
Questioning
Transgender
Two-spirit
Woman
My gender identity is not on the list
I don't know
I prefer not to answer
Required
If your gender identity is not in the above list, please share how you identify.
Your answer
How do you describe your sexual orientation? Please mark all that apply.
*
Asexual
Bisexual
Gay
Heteroflexible
Heterosexual/straight
Lesbian
Pansexual
Queer
Questioning
Same-gender loving
My sexual orientation is not on this list
I don't know
I prefer not to answer
Required
If your orientation is not in the above list, how would you describe yourself?
Your answer
Which racial and ethnic group (s) describe you? Please mark all that apply.
*
African (e.g. Algerian, Gambian, Ghanian, Eritrean, Malian, Nigerian, South African, etc.)
American Indian, Native American, Alaskan Native, First Nation, Inuit, Metis, and/or Indigenous North American
Black or African American
Caribbean (e.g. Cuban, Dominican, Puerto Rican, Haitian, Trinidadian and Tobagonian, etc.)
East Asian (e.g. Chinese, Korean, Japanese, Taiwanese, Mongolian, etc.)
Jewish (e.g. Ashkenazi, Sephardic, and/or Mizrahi)
Latino/a/e/x (e.g. Mexican, Brazilian, Guatemalan, Panamanian, Argentinian, Ecuadorian, Bolivian, etc.)
Middle Eastern, Arab, or North African (e.g. Jordanian, Egyptian, Israeli, Turk, Palestinian, Bahraini, etc.)
Native Hawaiian or Native Pacific Islander
South Asian (e.g. Afghan, Pakistani, Indian, Bangladeshi, Nepalese, Bhutanese, Sri Lankan, Dhivehin, etc.)
Southeast Asian (e.g. Thai, Vietnamese, Malaysian, Singaporean, Filipino/a, Laotian, Indonesian, Burmese (Myanmarese), Cambodian, etc.)
White or European
My racial/ethnic group(s) are not on this list
I don't know
I prefer not to answer
Required
The racial or ethnic group(s) that describe me (if not on the above list) is/are
Your answer
Do you self-identify with any other intersectionalities, such as Neurodivergent, Autistic, wheelchair user, hearing or visually impaired, or others? Which ones?
Your answer
HAI has separate funding for diversity scholarships. Do you believe that you might qualify?
Yes
No
Clear selection
How did you find out about HAI?
*
Check all that apply
Friend or family
Meetup
Facebook or Instagram
Eventbrite
Google Search
Other Search engine
Referral link from a website
Other:
Required
If your response is not in the above list, please let us know how you heard about HAI.
Your answer
What workshop or course would you like to attend?
*
Love Your Body, Love Your Sex Program - online
Loving Me, Loving You Program - online
Tending to our Hearts (workshop for BIPOC) - online
Authentic Communication Training Program - online
Connecting In Love (Level 1)
Loving Yourself (Level 2)
Loving Your Choices (Level 3)
Exploring Spirituality and Sexuality (Level 4)
Exploring Surrender and Control (Level 5)
Exploring Vibrant Community (Level 6)
Being the Source of Love (Level 7)
Sacred Energy Exchange (Level 8)
Being Radically Intimate (Level 9)
Mystery Workshop
FIT Bootcamp
FIT Program
Other:
What is the date of the workshop or course would you like to attend?
*
Your answer
Enter the location of the workshop you would like to attend
*
Choose a location option(s)
Choose
Online
US - Northern California
US - Southern California
US - Midwest
US - East Coast
Canada
Great Lakes
I verify that I will be 18 years of age prior to the workshop date
*
You must be age 18 years or older to attend
Choose
Yes
No
How much financial aid are you requesting?
*
Enter as a number
Your answer
Have you ever attended a HAI workshop?
*
No
Yes
If yes, please give the name, level, approximate date and location of the workshop attended
Your answer
Please use the space provided to describe anything we should know about your financial situation in order to make a decision about your request. Is there anything else you would like to tell us?
*
Your answer
Is there anything else you want us to know?
Your answer
I certify that all of the information provided in this application is true and accurate to the best of my knowledge.
*
Yes
No
Today's Date
*
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