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Bursary application

We collect only your name, contact details and this request. We use this info only to decide on the bursary, to contact you about it and, if you join, to register and bill you. This data is stored in Notion and Tally and deleted when no longer needed. We do not ask for income details, documents or reasons.

First name

Last name

Email

Phone (optional)

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The standard $250/month rate is a barrier for me right now.

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I understand the bursary rate is $200/month, there is no lower rate, spots are limited, the rate applies for one 6-month billing cycle only per person, and I'll be informed if no spot is available.

Have you completed the pre-evaluation?

Yes

Not yet

If you answered "Not yet": no problem. The pre-evaluation comes first for everyone, and your place in the bursary line starts once it's completed. You can submit this now and complete the pre-evaluation here: https://www.bonehealthcomox.com/membership#pre-evaluation

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I agree to Bone Health CV storing my name and contact details in Notion and Tally to process this application, and sharing my name and rate with Broken Squirrel Wellness administrative staff for registration and billing.