CIIS Public Programs Scholarship Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Use this form to apply for a scholarship to a CIIS Public Programs event.

Please read these instructions carefully - applications that do not meet all application requirements will not be considered.

Applications for all programs are due 14 days before the event date. If you are applying less than 14 days before the event, your application will not be reviewed and you may not receive a reply.

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 Climate Psychology Certificate (CPC). To learn more about these programs and their scholarship opportunities, explore STC's website: www.ciis.edu/stc and CPC's website: www.ciis.edu/cpc.

You will receive a response at least 2 days before the event. Scholarship notifications will come from publicprograms@ciis.edu. 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 publicprograms@ciis.edu or 415-575-6175.

Email *

Name *

Phone Number *

Are you a current CIIS Student? *

Yes

In the past 12 months, have you received a scholarship from CIIS Public Programs? *

Yes

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. *

YYYY

Scholarship Types

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). *

Full Scholarship

Partial (50% Scholarship)

Required

Application Questions

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.

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 publicprograms@ciis.edu, 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.

Submit

Clear form

Never submit passwords through Google Forms.

Forms

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google.