PSI-NC Scholarship Application for 2024
PSI-NC is providing several $100 scholarships for trainings in 2024.  Please choose the training(s) below that you are interested in attending.  

Applicants must serve residents of NC for consideration.

The scholarship will be based on financial need and a demonstrated commitment to providing treatment of perinatal mood and anxiety disorders in areas/populations with a significant need.  You must apply at least 3 weeks prior to the training you want to attend to allow time for your booklet to be mailed to you.

For virtual events - please note the timezone of the training before you sign up.  Many are held in time zones west of eastern timezone so check your calendar accordingly.  

For more information: https://www.postpartum.net/professionals/trainings-events/psi-certificate-training/

Questions about this form or training can be directed to Carrie Banks at cbanks@postpartum.net.
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First Name
Last Name
Phone
Email
City, State
Are you a member of PSI (not required)
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Which training/trainings would you like to attend? PLEASE NOTE THE TIMEZONE FOR VIRTUAL TRAININGS! For more info please see https://www.postpartum.net/professionals/trainings-events/psi-certificate-training/
Please tell us how you identify in terms of race/ethnicity (check all that apply).
Occupation
Employer
Education/Credentials
Please list the counties you serve.
Briefly describe your involvement in perinatal mental health:
How long have you been involved in this field?
Briefly describe what specific information, skills or contacts you will be seeking at the training, and how you want to make use of them:
Do you provide services in any languages other than English? If yes, please list.
What financial circumstances require you to seek a scholarship to attend the training?
Have you attended a perinatal mental health training before?
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