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Scholarship Application
Psychedelic Coalition for Health (PCH): Psychedelic Medicine Virtual Symposium
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Email
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Your email
Name
Your answer
Geo-location
Your answer
Field of Study / Work
Your answer
Average annual income.
<$10k
$10,000-$25,000
$25,000-$40,000
$40,000-$55,000
$55,000-$75,000
$75,000-90,000
>$90,000
Other:
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How would you describe your social location? This could include race, gender, social class, age, ability, religion, sexual orientation and any identities that are significant to you?
Your answer
Kindly help to describe your financial situation and why a scholarship is necessary for you. You're welcome to highlight any financial barriers including, though not limited to: medical expenses, debt, dependent care or Covid challenges. If you are not experiencing financial barriers, please help to note this as well.
Your answer
If you were awarded a partial scholarship, and not a full scholarship, would you be able to attend the Symposium?
Yes
No
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Please describe what participating in the Psychedelic Medicine Virtual Symposium would mean for you and your community?
Your answer
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