Scholarship Application

Please note: This scholarship application is for all Tara Mandala online programs (live and self-paced), Colorado-based onsite retreats (program fees only), and annual program fees that are not part of the Feeding Your Demons® training. There is a separate form for Feeding Your Demons®, found here.

Name*

First Last

Preferred Pronoun (Optional)

Email*

Enter Email Confirm Email

Phone

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Today's Date*

Type of assistance you are applying for:*

Assistance Desired*

Exact name of the program or retreat you are applying for?*

What type of assistance would allow you to attend?*

* Hardship / Global Exchange Rate Assistance This range may apply if you:
- Have difficulty meeting your basic financial needs
- Are experiencing housing, employment, or income instability
- Live paycheck-to-paycheck and lack money in times of need
- Face challenges due to a devaluation of your currency against the US dollar.

Please feel free to use the space below to share any additional information regarding your application (Optional)

Is there anything you would like to say to those who have made these scholarships available by paying forward the gift of the Dharma? (Optional)

May we have your permission to utilize your quote in our Tara Mandala emails and communications? If so, how would you like your name to read? Full Name, First name Last initial; First Name only; Anonymous.