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Fluence Diversity Fund Scholarship Application Form
We offer partial scholarships for most of our trainings. We do not offer full scholarships at this time. Given the limited number of partial scholarships available, we are interested in prioritizing certain factors when considering applicants. These factors include diversity considerations, financial need, and professional background and experience.

In considering diversity, we intend to support applicants who represent or will increase access to services among persons of diverse backgrounds with regard to ethnicity, race, sexual orientation, class, national origin, economic background, disability status, and other categories. Please see our Mission Statement for details.

If you would like to apply for a scholarship, please identify the training you wish to attend and complete this form. The more information provided, the easier it is for us to gauge your eligibility for a scholarship. Scholarship recipients will be notified within 2 weeks of application and given a code to register at the scholarship price. This code must be used within two weeks or the scholarship will be forfeited for the next eligible applicant.

Note: Scholarships apply to the program ticket fee only, and do not cover CE or CME portions of pricing or any lodging or travel.

Note: Scholarship spots are funded partly by donations to the Fluence Diversity Fund, and partly by complementary admission granted by Fluence.
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Email *
Which training would you like to attend? *
Name of Course or Program - if the program registration is by application, please take the time to complete after completing the scholarship form.
What is your full name? *
Please describe your profession, prior training experience, and current career status, along with the populations you work with. *
We are especially interested in providing scholarships to participants whose participation will enhance diversity among clinicians educated in this modality and/or the populations to which it is available. Please explain how your attendance at this training would enhance diversity in the field and benefit the community. Please provide as much detail as possible, as this question directly relates to scholarship eligibility (MINIMUM 150 WORD COUNT).  *
Is the training fee a barrier to attendance for you? *
Please provide additional information that demonstrates the training fee as a barrier for you.
(Optional) We want to be able to offer scholarships to as many individuals as possible. Of the total cost of the training or certificate program to which you are applying, please share the dollar amount that you would be able to contribute without experiencing financial hardship. Funds are limited and this information helps us distribute scholarship funds based on financial need.
If you are applying to a Reading and Study Group (RSG) or a Clinical Consultation Group (CCG), or a certificate program have you already submitted an application for the group or program? (Return to the group or program webpage and hit "get tickets" or "apply now" to access the application.) We can't award scholarships without a group or program application.
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Are you a Fireside Project volunteer participating in the Equity Initiative? *
*If you are applying for a scholarship for the Psilocybin-assisted Therapy Certificate Program, please indicate the cohort you are seeking to join.  *
*If you are applying for a scholarship for the Psilocybin-assisted Therapy Certificate Program, please indicate your program interview date. 
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