Long Island Center for Mindfulness
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Scholarship Application Form
It is very important to us that we do our best in eliminating or reducing any financial barriers that may exist in attending a retreat of this nature. With that said, we are only able to offer a limited number of partial scholarships. Before filling out this form, please take a moment to reflect on your financial need, and whether or not your attendance truly depends on scholarship assistance, as this most certainly will be the case for many who are applying and we want to make sure resources are allocated to maximize retreat participation.
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Indicates required field
Name
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First
Last
Email
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What is your age?
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18-25
26-35
36-50
Over 50
What is your household income?
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Less than $10,000
$10,001 - $25,000
$25,001 - $40,000
$40,001 - $70,000
$70,001 - $100,000
Greater than $100,000
Please describe your financial circumstance and need in as much detail as you feel necessary
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Thank you!
We will review your application and respond Shortly. Once you hit submit,
you will be redirected back to the registration page.
Submit