LGBTQ+ Scholarship Application for Group Therapy Conference October, 2023
This scholarship program open to students and professionals. It is intended to help cover the cost for those that would like to attend this conference but might not have the full financial means.

At this time we can cover the full ticket price for two professional tickets ($295/each), and four student tickets ($90/each,), or some combination of professional, early career, and student scholarship applications. However, as we receive more scholarship donations we may be able to cover ticket costs for more LGBTQ+ scholarship applicants.

Please answer the questions below and submit this form to complete your scholarship application.

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Email *
Email address (again) *
Your First and Last name *
Your professional status *
Your current work setting *
Are you planning on attending IN-PERSON or ONLINE *
Amount of scholarship money you would like to request *
If you answered 'other' in the previous question, please enter the amount (in US dollars) that you would like to contribute toward your ticket price.
Briefly describe what is "calling you to" this Group Therapy Conference? *
Are you committed to amplifying fellow LGBTQ+ voices within our conference sessions?
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Will you be wanting a CE certificate?
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(Optional) Please feel free to share anything else that you would like the conference leadership committee to know about you. :)
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