Please print this page, fill it out, and send it to us at our address (below).

I would like to qualify for a grant or scholarship for the following Graduate Certification Program(s):

Sound Health 101 Technology Certification
Sound Health 201 Technology in the workplace for stress reduction
Sound Health 301 Technology in the Classroom.
Sound Health 401 Psychology and Mental Health.
Sound Health 501 Integrative Medicine Program.

My intention is to begin this graduate program within the following time frame:
90 days
6 months
1 year

Today’s date: _____________________

Applicant name (please print): ____________________________________________

Address: ______________________________________________________________


Email: ________________________________________________________________

Phone Number(s): ______________________________________________________

My letter of intention is attached to this form.


Your Health Your Choice
1812 West Sunset Blvd #1-207
Saint George, Utah 84770
Voice: 866-738-4233 • Fax: 435-673-1455