CIIS Public Programs Scholarship Application
Use this form to apply for a scholarship to a CIIS Public Programs event. Applications for all programs are due 14 days before the event date. Applications that are received less than 14 days before the event will not be considered.
This form is for events only. There is a separate process for applying for scholarships for our two certificate programs: the Sex Therapy Certificate (STC) and the Intersectionality & Equity in Therapeutic Practices Certififcate (IETPC). To learn more about these programs and their scholarship opportunities, click here:
Please note: The deadline for "A Live Online Workshop with Lama Rod Owens (1/16/21)" has been extended to Monday, January 11, 2021.
You will receive a response at least 2 days before the event. Scholarship notifications will come from
. Be sure to periodically check your junk/spam folder for our email.
If you have any questions regarding this application, please contact Public Programs at
Are you a current CIIS Student?
In the past 12 months, have you received a scholarship from CIIS Public Programs?
What is the title of the event you want to attend?
What is the date (or first day) of the event you want to attend? Note: Scholarship applications are due 14 days before this date.
As a non-profit university, we have limited scholarship funds and want to make informed decisions. Please answer the following questions to let us know whether you are requesting a full or partial scholarship.
How much financial assistance are you requesting? For workshops, discounts are based on price of reduced rate. (Select all that apply).
Partial (50% Scholarship)
Please answer each of the following questions with at least three sentences, and 500 words maximum. Applications that do not meet these requirements will not considered.
Describe your financial situation and why you are applying for a scholarship.
Why is this event and/or presenter important to you?
How will attending this event benefit you and your community?
Please provide any additional information that you would like us to know.
Scholarship Program Policies
Please check the box next to each statement to confirm that you have read and understood the scholarship program guidelines.
I understand this application must be submitted at least 14 days before the event date. Applications received less than 14 days before an event will not be considered.
I understand that the questions on this application must be answered with at least three sentences, and 500 words maximum. Applications that do not meet these requirements will not considered.
I understand that scholarship notifications will come from
, and that messages may end up in my junk/spam folder.
By writing my name below, I confirm that the above information is true, and agree to the policies stated above.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service