Scholarship Application Form Step 1 of 5 - General Information 20% Conditions*Please read and accept the following conditions in order to proceed with the application. I understand that the information I am giving will be reviewed and verified by the Give to Give Foundation, LLC. I understand that scholarships only cover the cost of the workshop itself and that no other monetary assistance will be given. I realize the review process can take 4-6 weeks, and will be contacted with the outcome. I certify that the following information is true and accurate to the best of my knowledge. I understand that my application must be in English in order to be accepted for review. What workshop are you applying forWorkshop*Select WorkshopFirst ChoiceSecond ChoiceThird Choice* You must have completed both the Intensive and Progressive Workshops (live or online) before you can attend a Week Long Advanced RetreatFirst Name Last Name Phone NumberDate of Birth DD slash MM slash YYYY Format dd/mm/yyyyEmail Address* Residential Address* PO Boxes are not valid Net Monthly Income (in USD)Patient/Guarantor Spouse Salary Other IncomeDescriptionAmount Total monthly income $ 0 USDSupporting DocumentationSupporting DocumentationAdd documents to support your information e.g. tax returns, payslips, allowance, compensation Drop files here or Select files Max. file size: 50 MB. Personal ExpensesFood Utilities Petrol/Gas/Transport Phone Memberships/Subscriptions Childcare Other Personal ExpensesDescriptionAmount Creditor ExpensesRent/Mortgage Auto Repayments Personal Loans Insurances Other Creditor ExpensesDescriptionAmount Total monthly expenses $ USDSupporting DocumentationSupporting DocumentationAdd documents to support your information e.g. tax returns, payslips, allowance, compensation Drop files here or Select files Max. file size: 50 MB. Please list any medical conditions you haveYour condition(s) How has it affected your life and your ability to earn income?Medical EffectsSupporting DocumentationSupporting DocumentationAdd documents to support your information e.g. medical records, doctors notes, prescriptions Drop files here or Select files Max. file size: 50 MB. How do you believe that attending one of Dr Joe's Workshops will change your life?Personal messageSupporting DocumentationSupporting DocumentationAdd any more documents that you wish to support your application Drop files here or Select files Max. file size: 50 MB.
