APPLY NOW FOR POMPA PROGRAM SCHOLARSHIP

First Name:

Last Name:

Email Address:

**Please use the same email address provided to Pompa Program

Phone Number:

What is your Age?

What is your employment industry?

How long have you struggled with your health?

How many diagnoses have you been given?

How much have you spent on medical care trying to uncover a solution? 

What other approaches have you tried?

What would regaining your health mean for you and what would it mean for other people in your life?

Give us a little background on your story

Why do you believe Pompa Program is the answer to help you?

A requirement of accepting the scholarship is providing a video testimonial. 

Are you comfortable with this request?

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Disclaimer: These statements have not been evaluated by the Food and Drug Administration. This information is not intended to be a substitute or replacement for any medical treatment. Please seek the advice of a healthcare professional for your specific health concerns. Individual results may vary. These products are not intended to diagnose, prevent, treat, or cure any disease.

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