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Business Mentorship Program Scholarship Application Form

Fill in our application form to apply for a scholarship program on the Boost Your Practice One to One Mentorship Program with Nicola McLennan, EC Certified Business Coach.

Click the button below to start.

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Question 1 of 6

Please Enter Your Full Name and the Name of Your Business

Question 2 of 6

Your Profession

Question 3 of 6

How Long Have You Been In Business?

A

0-5 Years

B

5-10 years

C

10-20 years

D

20 + years

Question 4 of 6

What is Your Current Practice Status?

A

Closed for face to face

B

Closed for face to face, offering online/teleheath

C

Open for Emergencies Only

D

Open but patient numbers are significantly down

E

Open - Business as Usual

Question 5 of 6

Scholarship Places are very limited.  Please explain why you feel you should be considered for a place on the Business Mentorship Scholarship Program?

Question 6 of 6

Please select to confirm you have understood the nature of this scholarship

(Select all that apply)
A

I understand if selected I will be eligible for a 2 month 50% scholarship on the One to One Business Mentorship Program. Your scholarship will be reviewed at the end of 2 months and will be reduced or removed if your practice is open at that date.

Confirm and Submit