RBI believes every survivor should have the opportunity to benefit from Elevate Academy.  While we cannot fully scholarship everyone, we desire to assist, when possible.  If you know you will need assistance to be able to participate, please complete the form below.  

We never want finances to stand in the way of participation. We have also included a customizable sponsor letter template  on the Elevate page designed to explain the program and assist you in obtaining a sponsor.

Your scholarship request cannot be considered without also submitting a membership application.  There will be a link to that upon hitting 'apply' below.

Today's Date *
Today's Date
Name *
Name
Mailing Address *
Mailing Address
Phone *
Phone
My investment amount *
Indicate the amount you can pay monthly without assistance. Please choose all that apply. I can invest.......
Please be advised, all materials and information shared through RBI, Elevate Academy, our publications, or websites, written or verbal, is for informational purposes only, and shall not be construed as either medical or mental health treatment, nor does your participation in such establish a therapist-client relationship. Our staff are not credentialed medical nor mental health professionals. In addition, any information obtained, either written or verbal, shall not be considered a substitute for professional consultation or care. *

Your scholarship request cannot be considered without also submitting a membership application. 

Upon clicking 'apply' there will be a link to the membership application. Please complete that now, as well. Thank you!