Empath Connection Scholarship Form ONGOING
Questions marked by * are required.
1. First and Last Name *
2. Email: *
3. Enter Email Again for accuracy *
4. Where do you live (city/state/country)? *
5. Please check which scholarships you are applying for? You can choose as many as you would like. *
  • Empath Academy
  • Personal Coaching Session with Michael
6. Please tell us what you would like to learn about your empath gifts and/or sensitivity? (e.g. share as much of your personal story as you would like). *
7. Please share as much relevant information about why you are in financial need (or personal hardship). *
8. If you are asking to attend the Empath Academy, are you willing and able to attend on Wednesdays starting at 7:30 pm EST (4:30 pm on west coast) and going for 3 hours? This is around 10 am Thurs. in Australia for comparison purposes depending on time of year.
  • Yes
  • No
9. Are there any 4-week Empath Academies that you CANNOT do? (check which ones may apply)
  • April
  • August
  • October
  • January
10. (Optional): Enter your personal facebook page link and/or business website link if relevant.
11. Please know all your responses are totally confidential and will not be shared with anyone outside of our trusted 3-judge panel. Also know that Michael sometimes will make executive decisions himself based on intuitive guidance. *
  • I acknowledge that I am committed to attending the Empath Academy LIVE for at least 3 of the 4 sessions if chosen for that scholarship. If I receive benefit from the experience of either academy or coaching, I agree to share that with others on the Empath Connection Facebook page or through a written testimonial if I prefer to remain anonymous. I acknowledge that all of my information is confidential.