CMBM: Food As Medicine Scholarships

Scholarship Application for Food As Medicine 2009

We welcome your application for scholarship assistance.

A limited number of partial scholarships are available for health professionals working with underserved communities. Please provide the following information, noting N/A if necessary in required fields*.

* - These fields are required
* First Name:
* Last Name:
Degree(s):
Organization Name:
Title:
* Address1:
Address2:
* City:
* State:
* Zip Code:
Country (if other than US):
Please provide at least one preferred phone number:
Work Phone:
Mobile Phone:
Home Phone:
* Email Address:

Check here if you are currently working with
underserved communities:

Briefly describe your work (256 char max):

Please note:

Tuition includes breakfast and lunch daily. All other meals are your responsibility.
Travel costs and accommodations are your responsibility.
All participants are required to attend the training in its entirety.
Please apply to your institution for funding before applying to us. We have very limited funds available.
Unfortunately, we are unable to provide scholarships to students, as the student tuition is as low as possible.
Filling out this application does not guarantee that you will be awarded a scholarship.
We review scholarship applications regularly, and will notify you of our decision within 3 weeks. If you have not heard from us in that time, please contact center@cmbm.org.
Applicants should wait to hear back from us before registering.

The Center is committed to helping those who otherwise could not attend our trainings with partial scholarships. We ask that each participant pays what they are able, so that we can best assist the greatest number of participants. Please note here how much you can afford to pay.

* I can afford to pay $

Yes, I am interested in having a roommate
Yes, I applied to my institution for funding

Professional Training & Education

Scholarship Application for Food As Medicine 2009