SCHOLARSHIP APPLICATION we believe everyone shouldhave access to healing. We are happy to work with many members of our community to offer free or reduced price services. If you are committed to your healing journey but feel finances are in the way, please fill out our scholarship fund application! Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Current OccupationTotal household income for previous calendar yearNumber of people in your householdCan you be claimed as a dependent on someone else's taxes? Yes No What classes would you like to take? Include dates/times.Have you applied for a scholarship to this studio before? Yes No To award scholarships we take into account a variety of factors in addition to nancial need. Please answer the following questions to the best of your ability. How do you think a consistent yoga practice will benfit you?Why do you think you should be chosen for this scholarship?What do you value?In what ways would you like your physical/mental/spiritual health to grow?If you have any extraordinary expenses, large debts, or other circumstances that you would like the Scholarship Committee to take into consideration, please explain fully, be specific, and include financial details.Do you have other funding sources? (e.g., grants, fellowships, federal assistance, veteran benefits, friends, and family). Please explain.* I certify that all the information I have provided is complete and accurate and that I have given a full disclosure of my financial status. I understand that all the information in this application will be kept strictly confidential and only used to determine my eligibility for a scholarship.* This application requests personal and financial information. All information provided will remain confidential and not be released to anyone outside of Evolve Yoga without your permission. As a scholarship applicant, we trust that the information you provide is a complete and accurate disclosure of your financial status.* I acknowledge that all information submitted in this application is true and accurate. I understand that incomplete or inaccurate information may impact my scholarship award.* I acknowledge that part of the scholarship award process includes a release in the Evolve Newsletter with my image and a brief bio. I will provide these along with a signed consent to publish before being awarded my scholarship.* I acknowledge that at times I may be required to present my story to the Evolve teachers or other small groups to help raise awareness of how yoga has impacted my life and how this scholarship program is bringing change into our community. This iframe contains the logic required to handle Ajax powered Gravity Forms.