Discount Application Questionnaire - All Mindfulness Courses

First Name

Last Name

Phone Number

Email address

Address

What is your occupation

Can you let us know why you are seeking a scholarship place?

How much do you need? (As a percentage of full fee). Please note that we are unable to offer 100% discounts.

Household Annual, 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? Please include course and course location.