LOVE NOW Programs Grant & Scholarship Screening Survey: 10 minutes to complete.

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1. If you qualify, we’ll use your contact information to send program materials and next steps. Your information is treated with care and confidentiality. Prefer a personal call? Enter “Personal call please” in the questions and submit your form. We’ll be in touch.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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2. How Old are you?

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3. Have you been a Vermont Resident for at least one year.

Yes

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4. Do you have a high school diploma or GED: The grant program requires this.

Yes

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5. Are you currently enrolled in any higher degree programs: The funds we use cannot be given to someone already enrolled in a higher degree program with Vermont. You may qualify for a partial scholarship.

Yes

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6. ARE YOU IN DEFAULT ON ANY STUDENT LOANS? You must be in good standing to qualify. We can help you get into good standing.

Yes

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7. What is your total household income?

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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8. Did you file taxes in 2024?

Yes

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9. If YES you filed taxes in 2024, what was the average house income claimed at taxes.

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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10. If you did not file taxes in 2024 please explain why?

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11. Do you have dependents that you claim on your taxes?

Yes

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12. If you have people you claim on your taxes please list how many.

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13. Do you have access to WIFI?

Yes

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14. DO YOU HAVE ACCESS TO A COMPUTER OR UPDATED PHONE DEVICE

Yes

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15. If you DO NOT have access to wifi, or technology are you willing to get what is needed to participate in this online program?

Yes

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16. Are you willing to commit to the full 12-month experience? Your 12-month commitment includes:• Approximately 2 hours per week • Personal coaching and group learning • One scheduled rest week each month • First 4 months are personalized coaching. Second 4 months are group Education and Coaching. Final 4 months: Independent practice with continued access to all support.

Yes

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17. Tell me your story! What brought you here and why do you want this?

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18. Do you have any health challenges? If so, please explain what they are?

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19. Tell me about your finances? Is advancing in employment or starting a business a goal?

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20. Tell me a little about how you are feeling inside right now - heavy or light?

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21. WHAT PART OF YOU LIFE DO YOU WANT THE MOST HELP WITH

Your health

Your finances

Your wellness

Your relationships

Your job

all of the above

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22. Is there anything else you want to ask me, or tell me about.

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23. How familiar are you with the energy body and auric field?

New to this — I have little or no experience with the energy body or auric field.

Some experience — I have explored or practiced energy work and understand some of the basics.

Experienced — I have a strong understanding of the energy body and auric field and regularly work with energy practices.

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24. How familiar are you with the Universal Laws, Including the Universal Law of LOVE

New to this — I have little or no experience with the Universal Laws.

Some familiarity — I understand some of the Universal Laws and have explored how they apply to life.

Experienced — I have a strong understanding of the Universal Laws and intentionally apply them in my life.

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25. Do you have any further questions or comments you would like to add? We will be in touch within 24-48 hours. PLEASE answer our communication even if you changed your mind.

LOVE NOW Programs Grant & Scholarship Screening Survey: 10 minutes to complete.

Question Title

* 1. If you qualify, we’ll use your contact information to send program materials and next steps. Your information is treated with care and confidentiality. Prefer a personal call? Enter “Personal call please” in the questions and submit your form. We’ll be in touch.

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* 2. How Old are you?

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* 3. Have you been a Vermont Resident for at least one year.

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* 4. Do you have a high school diploma or GED: The grant program requires this.

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* 5. Are you currently enrolled in any higher degree programs: The funds we use cannot be given to someone already enrolled in a higher degree program with Vermont. You may qualify for a partial scholarship.

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* 6. ARE YOU IN DEFAULT ON ANY STUDENT LOANS? You must be in good standing to qualify. We can help you get into good standing.

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* 7. What is your total household income?

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* 8. Did you file taxes in 2024?

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* 9. If YES you filed taxes in 2024, what was the average house income claimed at taxes.

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* 10. If you did not file taxes in 2024 please explain why?

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* 11. Do you have dependents that you claim on your taxes?

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* 12. If you have people you claim on your taxes please list how many.

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* 13. Do you have access to WIFI?

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* 14. DO YOU HAVE ACCESS TO A COMPUTER OR UPDATED PHONE DEVICE

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* 15. If you DO NOT have access to wifi, or technology are you willing to get what is needed to participate in this online program?

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* 17. Tell me your story! What brought you here and why do you want this?

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* 18. Do you have any health challenges? If so, please explain what they are?

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* 19. Tell me about your finances? Is advancing in employment or starting a business a goal?

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* 20. Tell me a little about how you are feeling inside right now - heavy or light?

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* 21. WHAT PART OF YOU LIFE DO YOU WANT THE MOST HELP WITH

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* 22. Is there anything else you want to ask me, or tell me about.

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* 23. How familiar are you with the energy body and auric field?

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* 24. How familiar are you with the Universal Laws, Including the Universal Law of LOVE

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* 25. Do you have any further questions or comments you would like to add? We will be in touch within 24-48 hours. PLEASE answer our communication even if you changed your mind.

1. If you qualify, we’ll use your contact information to send program materials and next steps. Your information is treated with care and confidentiality. Prefer a personal call? Enter “Personal call please” in the questions and submit your form. We’ll be in touch.

2. How Old are you?

3. Have you been a Vermont Resident for at least one year.

4. Do you have a high school diploma or GED: The grant program requires this.

5. Are you currently enrolled in any higher degree programs: The funds we use cannot be given to someone already enrolled in a higher degree program with Vermont. You may qualify for a partial scholarship.

6. ARE YOU IN DEFAULT ON ANY STUDENT LOANS? You must be in good standing to qualify. We can help you get into good standing.

7. What is your total household income?

8. Did you file taxes in 2024?

9. If YES you filed taxes in 2024, what was the average house income claimed at taxes.

10. If you did not file taxes in 2024 please explain why?

11. Do you have dependents that you claim on your taxes?

12. If you have people you claim on your taxes please list how many.

13. Do you have access to WIFI?

14. DO YOU HAVE ACCESS TO A COMPUTER OR UPDATED PHONE DEVICE

15. If you DO NOT have access to wifi, or technology are you willing to get what is needed to participate in this online program?

17. Tell me your story! What brought you here and why do you want this?

18. Do you have any health challenges? If so, please explain what they are?

19. Tell me about your finances? Is advancing in employment or starting a business a goal?

20. Tell me a little about how you are feeling inside right now - heavy or light?

21. WHAT PART OF YOU LIFE DO YOU WANT THE MOST HELP WITH

22. Is there anything else you want to ask me, or tell me about.

23. How familiar are you with the energy body and auric field?

24. How familiar are you with the Universal Laws, Including the Universal Law of LOVE

25. Do you have any further questions or comments you would like to add? We will be in touch within 24-48 hours. PLEASE answer our communication even if you changed your mind.