BIPOC Scholarship Application

Thank you for your interest in joining us for our programs. We are thrilled to offer scholarship opportunities for Black, Indigenous, and People of Color (BIPOC) to join the Life As Medicine Way program. Please complete the form below to apply. Your answers will help us learn more about you and ensure the selection process is equitable. Please fill out some info, and we will get in touch shortly! We can't wait to hear from you!

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about us?

Please describe your cultural or ethnic background

Why are you interested in joining the Life As Medicine Way program?

How do you envision this program contributing to your personal growth and healing journey?

How do you plan to use the knowledge and experience from the Life As Medicine Way program to support your community or create positive change?*

Our Scholarships cover up to 50% of tuition for the program. How much support will you be needing?

By submitting this application, you certify that the information provided is accurate and complete to the best of your knowledge.

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BIPOC Scholarship Application

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