Scholarship Application Questionnaire - MBSR Term 2 2024

Full Name:

Phone Number:

Email address:

Address:

What is your occupation:

Tell us what you can afford to pay to join the MBSR course?

Can you let us know a bit about your circumstances that makes this the right fee for you? (This helps with our funding!)

Household MONTHLY, Gross Taxable Income (Include income from child support, Centrelink, and all other sources. Also include your’s and partner’s before tax income, if any. And if you are a dependent student, your parent’s before tax income, if any.)

Household Size (Include yourself, your spouse, children and other persons who live with you and receive more than half financial support from you).

Do you own your own home?

Which course are you applying for?

Let us know if you need a further discount?

Scholarship Application - Price Options