Passage Studios Teacher Training/Program Scholarship Application

Scholarship requests must be received at least 60 days in advanced of the program you wish to attend

Name

First Name

Last Name

Email Address

Title of Program

Dates of Program

Personal Information

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Occupation

Financial Information

Partial scholarships for program tuition are based on availability of funds.

Total Program Cost

Amount of Financial Assistance Requested

1. Please briefly explain your financial circumstances that necessitate your request for financial assistance

2. What effect do you think this program will have on your yoga practice and your life?

3. If applying for a Teacher Training scholarship, please explain how you will use your experience in the program to serve your community

Additional Comments

Signature

I certify that the above information is correct.

yoga PASSAGE