Scholarship Application

SCHOLARSHIP APPLICATION

CERTIFICATION PROGRAM SCHOLARSHIP APPLICATION

Question 1 : Name

Applicant Name:

Question 2 : Email

Applicant Email:

Question 3 : Phone

Applicant Phone:

Question 4 : Institutional / Organizational Affiliation

Applicant Institutional / Organizational Affiliation:

Question 5 : Question 1

Why do you believe intentional training and development is important?

Question 6 : Question 2

How do you plan on utilizing your training and facilitation skills after becoming a Certified Master Trainer?

Question 7 : Question 3

What is the intended context and population of your training experiences after becoming a Certified Master Trainer?

Question 8 : Question 4

Can you participate in the Leadership Trainer Certification Program if you (or your organization) are expected to pay the amounts below? (Please note that the costs listed are for the total expense of the program—all materials, lodging, and meals. You will not incur any additional expenses except for transportation to the Retreat.)

1. Between $1,400 - $1,600

2. Between $1,600 - $1,800

3. Between $1,800 - $2,200

Question 9 : Question 5

Why is cost a limiting factor for your participation in the Certification Program?

Question 10 : Question 6

For which program are you applying for a Scholarship? (Interested in more than one Certification Program? Amazing! Please select your top choice and then fill in the message box below with names of the other Certification Programs of interest.)

1. Northeast Immersion Retreat (June 3rd – 6th, 2024 in Madison, CT)

2. Fall 2024 Hybrid Certification Program (Waitlist)

Question 11 : Question 7

Additional Program(s) of Interest:

Question 12 : Question 8

How did you learn about the Leadership Trainer Certification Program?

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SCHOLARSHIP APPLICATION

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