Apply for a Scholarship

Making therapeutic yoga accessible.

Pain Care Collective is so honored to have been awarded a grant from Inner Peace Yoga Therapy and the Give Back Yoga Foundation to help us better support those in financial need who could benefit from the practice of yoga. If you are in financial need, we'd love to hear from you.

Scholarship Application

Please complete the application to the right in order to be considered for our scholarship program.

The winners of this scholarship will receive the following:

FREE 3 month membership for both On Demand and Live online yoga therapy classes
A FREE 15-minute consultation with a yoga therapist
Option to continue with membership after 3 months at a discounted rate

*Please allow 5-7 business days for application review.

First Name

Last Name

Date of Birth

Email Address

Phone

Home Address

What is your total househould gross income for 2022?

Please upload one of the following to verify your Total Household Income (black out any SSN):

Most recent tax return (2022 or 2023)
Two recent pay stubs
If you do not file a tax return, call the IRS at (800) 829-1040 or go to www.irs.gov to download Form 4506-T and request a Verification of Non-Filing letter to submit in lieu of the tax return. You will then need to provide additional proof of other income (i.e child support, food stamps.)
Proof of government funds, such as housing, Social Security, disability, etc.
Proof of child support payments

Upload File

Which do you prefer?

Livestream Classes

On-Demand Classes

Doesn't matter

Do you have internet access?

Yes

Are you recovering from an injury, illness or recent surgery?

Yes

If you would like to include any other health-related information including pain, mobility, mental-health or other, do so here.

How did you hear of this scholarship opportunity?

I agree to the terms & liabilityView terms and liability

Your scholarship application has been submitted. Thank you for your interest!