Scholarship Application for The Body-Mind Reconnection Studio - 8 week group experience
Thank you for your interest in the The Body-Mind Reconnection 8-week group experience for high-achieving women with chronic pain.

We are offering:

  • One full scholarship

  • One 50% scholarship

This is for women who are committed to doing the work, open to mind-body healing, and in financial need — with an emphasis on uplifting voices from underrepresented communities.

Please fill out the short application below. You’ll be notified via email within a few days of submission.
🎯 Note: Applications are due by June 14 at 5pm EST


Sign in to Google to save your progress. Learn more
Email *
First and Last name *
Instagram handle (optional)
What interests you about this group experience? *
Why do you believe this work is right for you at this point in your pain journey? *
This program is not a quick fix. Are you willing to show up for yourself weekly and stay engaged even if progress feels slow or nonlinear? *
Are you open to movement, nervous system work, and shifting your relationship with pain? *
Have you done any mind-body or nervous system work before? If so, what? *
Please briefly share why you’re applying for financial support. *
Are you applying for: *
How would receiving this scholarship impact your life right now? *
We are prioritizing underrepresented groups. If you identify as part of any marginalized communities and are comfortable sharing that here, feel free to do so.
Are you committed to showing up for all 8 group sessions live (or watching replays promptly) and taking ownership of your experience? *
Anything else you’d like to share with me?
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