Scholarship Application

PARTIAL SCHOLARSHIP APPLICATION FOR EMDR Consultation GROUPS

Name

First Name

Last Name

Email

Current practice setting:

Which historically marginalized and oppressed client population(s) do you currently work with, and why is this work important to you?

How do you currently use – or hope to use – EMDR therapy to help your clients?

Do you provide services to clients in languages other than English? If so, please list languages spoken.

Please describe your strengths as an EMDR therapist.

Please briefly explain the financial circumstances that led you to seek a scholarship at this time.