NCCEFT Scholarship Application
The Northern California Community for Emotionally Focused Therapy Scholarship program has been established to help realize our vision of bringing EFT to underserved populations in northern California. Each year five scholarships will be awarded, three full scholarships for the EFT Externship and two full scholarships for Core Skills trainings offered in Northern California. To qualify, candidates will either identify as members of underserved populations or work as a mental health professional at an agency, clinic, community mental health center or private practice that serves underserved populations. Both pre-licensed and licensed therapists may apply for the NCCEFT scholarships. Membership in NCCEFT is not required to qualify for the scholarship.

Application submission dates: September 1, 2017 - December 1, 2017
Scholarship candidate will be notified on December 15, 2017

Questions to ncceftinfo@gmail.com

Name
Your answer
Mailing Address
Your answer
City, State, Zip Code
Your answer
Phone Number
Your answer
Email
Your answer
Please select whether you are
If graduate student, what school/college/university? What degree? Anticipated Graduation Date?
Your answer
If pre-licensed, please specify MFT intern, PCC trainee, Psych assistant or ASW. Please provide your registration number.
Your answer
If licensed health professional, please specify Clinical psychologist, LCSW, LMFT, LPCC, psychiatrist MD or psychiatric nurse RN. Please provide your license number.
Your answer
Has any licensing board, regulatory body, or ethics/peer review committee of a professional association, ever taken any disciplinary action against you or a license/ registration/certification held by you?
If yes, please explain.
Your answer
Are you an NCCEFT member?
What scholarship are you applying for? (please check all that apply)
Required
Please provide an explanation of your commitment to EFT and your goals for your future development of EFT skills. (not to exceed 150 words)
Your answer
Please discuss any specific underrepresented group(s) you have or plan to work with. (not to exceed 500 words)
Your answer
Please discuss any second language skills you use in your clinical practice. (not to exceed 150 words)
Your answer
If you are a member of an underrepresented group(s), please describe. (not to exceed 500 words)
Your answer
How do you plan to apply your EFT training in your clinical career? (not to exceed 150 words)
Your answer
Briefly explain your requirements for financial assistance to pursue the study of EFT. (not to exceed 150 words)
Your answer
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