CMBM: Mind-Body Scholarship Application

Scholarship Application for
Mind-Body Medicine 2009

The Center has funding for scholarships in the following categories:

I. Full “Healing Our Troops” Package (details) Scholarships Available for Southern California providers working with Military, Veterans, Veterans Affairs, National Guard, Reserves, and/or their families

Check here if you believe you may qualify

II. Partial “Healing Our Troops” Package (details) Scholarships Available for leaders and supervisors working with Military, Veterans, Veterans Affairs, National Guard, Reserves, and/or their families

Check here if you believe you may qualify

III. Partial Tuition Scholarships for providers working with Military, Veterans, Veterans Affairs, National Guard, Reserves, and/or their families

Check here if you believe you may qualify

IV. Partial Scholarships for full-time medical school faculty with financial need.

Check here if you believe you may qualify

V. Partial Scholarships Available for health professionals working with underserved communities

One of the Center’s missions is educating health professionals who are doing the work of caring for the underserved, to provide powerful education in self-care and wellness to nurture both the practitioners themselves and the communities they serve.

Check here if you believe you may qualify

Please read the following before completing your application:

You must qualify for one of the above categories to apply.
Please apply to your institution for funding before applying to us. We are a non-profit with limited funds.
Unfortunately, we are unable to provide scholarships to students, as the student tuition is as low as possible.
We do not provide scholarships to those who have already registered

Please provide the following information, noting N/A if necessary in required fields*.

* - These fields are required
* First Name:
* Last Name:
Degree:
Rank (if applicable):
Institution 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:


If your position involves responsibilities for training of colleagues within your institution check here:

If your position involves supervisory or leadership responsibilities check here:

* How many clients or patients do you work with each week:

If you have professional experience in facilitating health or mental health therapy groups check here:

If facilitating groups is an integral part of your work check here:

Please briefly describe your work or input any other information you think appropriate (256 char max):

* Please indicate how much you can afford to pay should you not receive a scholarship, or if you are applying for a partial scholarship: $
Please enter special code here (if you were given one):

Professional Training & Education

Scholarship Application for Mind-Body Medicine 2009

I. Full “Healing Our Troops” Package (details) Scholarships Available for Southern California providers working with Military, Veterans, Veterans Affairs, National Guard, Reserves, and/or their families

II. Partial “Healing Our Troops” Package (details) Scholarships Available for leaders and supervisors working with Military, Veterans, Veterans Affairs, National Guard, Reserves, and/or their families

III. Partial Tuition Scholarships for providers working with Military, Veterans, Veterans Affairs, National Guard, Reserves, and/or their families

IV. Partial Scholarships for full-time medical school faculty with financial need.

V. Partial Scholarships Available for health professionals working with underserved communities

Scholarship Application for
Mind-Body Medicine 2009