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Scholarship Request
Please fill out this brief form to request a free Scholarship to attend one of the Online Events on Attachment Repair.
You can only sign up for a Scholarship one time. We can make exceptions for those who truly need it.
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Email
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Your email
First Name
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Your answer
Last Name
*
Your answer
Country (two-letter code is best, ie. US, DE, IN...)
Your answer
Program you want to join
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Choose
Working Through our Ambivalence around Valuing Attachment and Connection [2024-04-ambivalent-attachment]
Explanation of what you'd like to get from the course
*
Your answer
Please let us know why you are applying for this scholarship.
*
Your answer
How did you hear about the event?
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