KMB Scholarship Request Form
KMB is proud to support ED practitioners who attend professional development opportunities related to Eating Disorders. Please take a moment to complete this request for scholarship form. Scholarship amounts will be granted up to $500.
Email address *
Please complete your name, address, phone and email.
Your answer
Please state the conference or seminar you wish to attend. Title, location, date(s) and the scholarship amount requested.
Your answer
Please state your place of employment and credentials.
Your answer
Please tell us how this scholarship will benefit individuals who struggle with ED.
Your answer
Please state the reason for financial need i.e. limited or no employer contribution, student. *
Your answer
Please add any additional information that we should be aware of when reviewing your request.
Your answer
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