BYou Scholarship Application

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Application for

Partial or Full Scholarship

What is your primary area of concern:

Anxiety

Grief

Depression

Addiction

PTSD

Body Image/Eating Disorder/Disordered Eating

Marriage/Relationship Strain

Unemployment

Unhealthy Coping Strategies

Spiritual Crisis

Chronic Ilness/New Diagnosis

Other

What is your age range:

21-30

30-45

46-60

Other

What is taxable household income range (used to determine scholarship amount):

Less than $20,000/year

$20,000-60,000/year

$60,000-$100,000/year

$100,000-$150,000/year

$150,000+/year

How many hours a week are you commited to engaging in your wellbeing?

Less than 2 hours/week

2-4 hours/week

4-6 hours/week

6-8 hours/week

8+ hours/week

Thanks for submitting your application. We will review your information and be in touch within the next 5 business days to discuss your needs and how we may be able to help serve you best.

Brilliantly You, Inc. is proud to serve in partnership with Brilliantly You Project, Inc. - a 501c(3) Non-Profit Corporation.