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Practicing ACIM with Dawn Green

Please complete the following financial assistance application. For qualified applicants we have several places available at a reduced rate of $175 Canadian dollars for 12 sessions/weeks. Some additional funding for those with very limited financial resources is also available. For any questions, or to check on the status of your application once submitted, please email:

enquiries@choose-again.com

First Name *

Last Name *

Email *

Phone 1 *

Who referred you to us? *

Have you previously attended this course? *

Have you attended any of our other programs? Please list them here: *

Please carefully review the program details for this course and tell us a little bit about why you would like to join the ACIM study group.

Program details can be reviewed online here.

If you have attended this course in the past please tell us why you would like to continue attending:

Reasons for attending this course *

In the section below please tell us about your financial situation and why you are applying for financial assistance to attend this program.

Financial Situation *

If you are not able to make a financial contribution of $175 CAD towards 12 weeks of attendance, please indicate an amount that is affordable for you below.

Similarly, if you are able to offer more than $175 CAD for the 12 session weeks, please indicate it below.

Being as generous and honest as possible with your contribution allows others to participate.

$CAD Financial Contribution for 12 Sessions/Weeks *

If there is any additional information you would like to share with us, please do so in the following field.

Additional Details