Name *

First

Last

Email *

I am committed to attending ALL of the live coaching sessions

• Absolutely
• I hope to be able to
• Not always

I am committed to finishing the course and commit to making or finding the time to complete the course.

• I am
• I will try

I will engage and be an active participant in the private community group.

• At least once per week
• I can engage at least 2 times per week
• I will definitely engage at least 3 times per week

If I fall behind I promise to

• Keep going even if I feel behind
• Ask for support to get back on track

The maximum amount that I can afford to pay in total is:

• $25
• $50
• $100
• $150
• I need a full scholarship

Is there anything you'd like to add for us to consider in your scholarship request?

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