Online Membership Scholarship Application Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about Three Jewels? * Word of Mouth Instagram Google Yelp Other What type of experience do you have at Three Jewels? * Please check all that apply. Yoga Classes Medi Classes Dharma Course or Class Retreat Training Other Why do you need a scholarship? * Do we have your permission to share your name and reason for needing a scholarship with our donors and public to show them why funding this program is important? * Yes No Thank you!
