Mindfulness Everyday Program Subsidy Request - Dianna Last Fund

Mindfulness Everyday is pleased to be able to offer financial assistance to participants
wishing to attend a mindfulness workshop/course.

We have a limited number of subsidies available for each program and are able to offer those who genuinely need assistance a $100 subsidy.

Name Name * First Last
Email *
Home Phone Home Phone * - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Which mindfulness course/workshop are you applying for a subsidy?
Please include the program name, session and instructor
e.g. MSC Winter 2021 with Markus Bohlmann
How did you hear about the the course/workshop? *

How did you hear about the the course/workshop? From a friend of colleague Mindfulness Everyday Website Mindfulness Everyday Newsletter Other Other
Please describe any previous mindfulness / yoga training that you have attended.
Please describe why you wish to take the mindfulness course/workshop, personally and professionally. *
Please provide some details of why you are applying for a subsidy. *