The Rooted Self  – Application Form


Each seasonal cycle, one Full Access Scholarship is offered for someone who feels deeply called to this work but is currently experiencing financial limitation.

This scholarship is intended for individuals who are ready to fully commit to the process and actively participate in the container.

Please fill our the application below, to be considered for this program!





The Healing Blueprint

1 hour 30 minutes
On Zoom
  • identify emotional/nervous system patterns
  • uncover blocks
  • understand behavioral cycles
  • determine what support path fits best

Select a Date and Time

Sun
Mon
Tue
Wed
Thu
Fri
Sat
Time Zone
UTC
Have you worked with us before?*
Why do you feel called to this program right now?*
What transformation are you hoping to experience?*
What would participating in this program make possible for you?*
If you are eligible for a scholarship, why is the scholarship important for your current circumstances?*
Do you require a payment plan if not eligible for the scholarship?*
Is there anything you would like us to know?*