Name * First Name Last Name Email * Phone * Include your country code if you don't have an Irish number. Please add your instagram handle and/or other socials which are active * Age * Country * My primary interest in this training is for ... * Personal growth. Professional development. Answer Section A if you are applying as a person from an underrepresented group. Answer Section B if you are applying as someone seeking financial assistance. Do not answer both sections. Thank you. Section A If you are applying as a person associated with an underrepresented group. Which underrepresented group do you associate with? Section B If you are applying as a person seeking financial assistance. What is your marital status? Do you have any dependants? If yes, what are their ages? What is your occupation? Financial information: Please provide an overview of your financial situation. Supporting documents will be requested at a later stage. Please give information in euro currency What is the total gross income on last year's tax return? Include one income if you are single and both incomes if you are married. What is the total value of your assets? Bank accounts, savings accounts, pensions, investments, trusts, equity, etc. Do you own your home? Yes No If you have a mortgage, what is your monthly payment? If not enter your rental amount. Is there any other financial or other information relevant to your application you would like to share? Please share with me, how you would go forth to serve this work [ and give back ] to people with low socioeconomic status, historically marginalized populations, and/or sexual trauma survivors. * I acknowledge that the information I have provided in this form is true and correct. Thank you!
