CHTF - Bursary Application

Personal Information

First Name *

Last Name *

Street Address *

City *

Province *

Postal Code *

Phone Number *

Email Address *

Preferred Language *

Class Instructor *

Instructor Email *

HT Level of Class *

Current HT Level *

Class Tuition ($) *

Class Location *

First Day of Class *

Last Day of Class *

Permission to contact instructor Instructor is aware of my application I applied for a bursary this year

Financial Circumstances *

Healing Touch Involvement *

How will you apply your new HT skills? *

Payment Type *

E-Transfer (Interac) Cheque

All information provided is accurate to the best of my knowledge. I have read the Bursary Guidelines and agree with the terms and conditions.