BICC Scholarship Application
Thank you for your interest in the Body Image Coach Certification program. To bring more marginalized folx into this work – BIPOC, disabled and transgender folx who experience financial hardship can apply to receive a partial or full scholarship for the program.  

We offer at least 2 scholarships to the program each cohort.

The information you share here will be kept confidential. You will be notified in early February when enrollment closes for the next cohort if we can make a scholarship work for you. 

If you have any questions, please contact
Sign in to Google to save your progress. Learn more
Email *
Your name *
Why do you want to take this course? *
What type of clients do you work with? *
Do you have financial challenges that would prevent you from joining the program at an extended payment plan of $205 USD/month for 12 months? *
Do you identify as BIPOC, disabled and/or transgender? (Please indicate which one(s) apply to you) *
Can you contribute any amount to a partial 12-month payment for the $205 USD per month? (Please indicate what amount would be doable for you without putting you in financial strain from a scale of $0-$205) *
Are you able to attend at least 6 of the live class sessions?  See FAQ at bottom for all dates/times: *
Anything else you’d like to share?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Summer Innanen. Report Abuse