What is your name?

Can you tell us a little about yourself?

What is your phone number? (*We never share your information. We just know sometimes emails go to spam, so we want a backup way to contact you with your scholarship results.)

Our goal is for all of us to stretch a little in a scholarship agreement and meet each other in the overlapping space. Each round of NeuroEmotional Coach training has a set amount of financial aid available that we would love to see help as many people in the community as possible. With this in mind, what is the maximum amount that you can give for NeuroEmotional Coach training?

Is a payment plan necessary to pay your tuition? If so, what payment plan would best meet your needs? If you can, please list a dollar amount that you would pay per month, and how many months it would take to complete the tuition (ideally, within the length of the program).

NeuroEmotional Coach training meets weekly for 21 weeks starting February 2026. Are you available to attend class during this time?

Are there any other other barriers to showing up for class each week?

What can we share with you that helps make this scholarship process easier?

Is there anything else you’d like to share with us?