Accessible Yoga Scholarship Application
Welcome to Accessible Yoga!

We are excited that you want to join us for our 1st Accessible Yoga Conference in San Francisco, October 6th - 8th, 2017. We are currently accepting applications for full and partial scholarships. After completing and submitting this application and scholarships are awarded, you will be contacted by a member of our Scholarship Team.

We look forward to reviewing your application!!

Warmly,
The Accessible Yoga Scholarship Team

Email address
Last Name
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First Name
Your answer
Spiritual Name
Your answer
Email Agreement
By submitting your application, you authorize Accessible Yoga to contact you by email for Accessible Yoga purposes only. Your information will not be shared or used for other purposes. Please click the below box that you understand and agree to these terms as well as join our email roster by clicking here: http://accessibleyoga.us11.list-manage.com/subscribe?u=4fc91bda9d03b79adec3d9fd6&id=e4757ee572
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Phone Number
Please add country code if outside the United States
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Address
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Additional Address
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City
Your answer
State
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Zipcode
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Country
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Website
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Facebook Page
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Twitter Name
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Instagram Name
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If you are representing an organization/business describe it below.
Your answer
Do you have a disability or chronic illness?
Your answer
Are you currently a yoga teacher?
If you answered yes to the above question, how long have you been teaching and what populations do you serve?
Your answer
Describe your yoga background.
Your answer
What is your annual gross income as reported on your most recent tax return?
Please include currency description (i.e. Euros) if your income is not in US dollars.
Your answer
What amount of support are you requesting?
Your answer
Describe why you are requesting a scholarship.
Your answer
How will attending the Accessible Yoga Conference benefit you and your community?
Your answer
Have you received any previous scholarships from our organization? If so, please list the event location and date.
Your answer
Are you currently an active Accessible Yoga volunteer?
If you answered yes to the previous question, please list your team and group leader name.
Your answer
If you are not already a volunteer, would you like information on how you can become involved?
If yes, what work and skills would you like to offer?
Your answer
Accessible Yoga Scholarship Terms and Agreements:
I will provide my own transportation and lodging for the Accessible Yoga Conference.
Required
I will register (online) to attend the Accessible Yoga Conference with Brightstarevents.net within a week of notification of Scholarship Award.
Required
I will register (online) for the sessions I will be attending at the Accessible Yoga Conference with Sched.org as soon as I receive the email notification that the registration is open.
Required
I will volunteer for a task at the Accessible Yoga Conference. (Tasks are approximately 1-2 hours, assignment details will be sent as conference date approaches.)
Required
I will be an "Ambassador" and spread the word about Accessible Yoga!
Required
Photo Release: I grant Accessible Yoga, and it's representatives, the right to take photographs, video, and recordings of me and my property, and to utilize any images that I provide. I authorize Accessible Yoga, its assignees and transferees, to copyright, use, and publish the same in print and/or electronically.
Required
I will email my 4 x 5 jpeg photograph to megan@accessibleyoga.org for my Ambassador Meme
Required
e-signature and date
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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