Scholarship Application

Full Name

Phone Number

Address

City

State

Zip Code

Birthdate

Occupation

Spiritual or somatic integration — I want to go deeper into body-based and values work

Number of Dependents

Which week or topic had the biggest impact on you, and why?

Week 1: Introduction & Orientation to Community Support

Week 2: Stage 1 -- Paradigm Shift

Week 3: Stage 2 -- Establishing Safety

Week 4: Stage 3 -- Alchemy of Wounds

Week 5: Stage 4 -- Courageous Reclamation

Week 6: Stage 5 – Empowered Freedom

Week 7: Closing & Celebration

If you could summarize your transformation in one sentence, what would it be?

Your Overall Experience

What challenges, if any, did you experience during the program?

What are you hoping to gain from the Adult Survivors of Narcissistic Parents Group?

How safe, supported, and understood did you feel throughout the program?

Very supported — I felt seen and held throughout

Mostly supported — there were a few moments I struggled

Somewhat supported — I found it hard to open up

Not supported — this was not the right fit for me at this time

Education — I want to keep learning tools and strategies for my nervous system and patterns

🌱 Roots $67/month • P2P Essentials graduates only You did the work. Now it's time to let it root. Your ongoing home in the Passage to Peace community — designed to keep you connected, accountable, and actively growing long after the program ends. What's included: • Access to The Healing Circle community (included at no extra cost) • 2 x 30-minute Peace Pocket survival coaching sessions with Marcia per month • Monthly workshops on topics including Breaking the Trauma Bond and Healing Your Nervous System • Access to the Exclusive Resource Archive (tools, exercises, replays) • 24/7 access to the P2P alumni + REP community group chat

Passage to Peace
Scholarship Application

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Passage to Peace Scholarship Application

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Passage to Peace
Scholarship Application