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Momcozy Lactation Consultant Scholarship Fund Application
Thank you for your interest in helping expand the breastfeeding community by offering your professional support to moms! Momcozy's Breastfeeding Support Program offers IBCLC exam reimbursement through its Lactation Consultant Scholarship Fund for moms who have sat for and passed the IBCLC exam in 2022 or 2023.
The application period is now closed. Applications that were submitted through Dec. 31 will be considered.
Selections will be made in January 2024. All applicants will be contacted whether they were selected or not. You will be prompted to provide proof of exam payment and passing if selected. Subsequent reimbursement details will then be explained.
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* Indicates required question
Full name
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Your answer
Email address
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Your answer
Phone number
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Your answer
I acknowledge that I am a mother.
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Yes
No
Have you heard of Momcozy before now?
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Yes
No
How did you hear about the Breastfeeding Support Program?
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Instagram
Facebook
Twitter
LinkedIN
TikTok
From a friend or colleague
Momcozy Website
News
At an in-person event
At an online event
Other:
Location:
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Americas (North America, South America, Central America, Caribbean)
Asia Pacific (Central & South Asia, Northeastern Asia, Southeastern Asia, Australia and Oceania)
Europe (Northern Europe, Southern Europe, Eastern Europe, Western Europe)
Middle East/Africa (Middle East, Northern Africa, Southern Africa)
Other:
If in the U.S. (City/State)
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Your answer
Have you passed the IBCLC exam in 2022 or 2023 and received your certificate?
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Yes
No
Yes, but have not received my official certificate yet
If you are selected as a recipient of the Momcozy Breastfeeding Support Program, do you acknowledge that you will be providing services in North America?
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Yes
No
Are you currently providing paid, lactation consultant services?
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Yes
Not Yet
What is your occupation (if it is not, full time lactation consultant)? And yes, being a mom counts!
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Your answer
Briefly share what led you to become an IBCLC?
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Your answer
Why do you believe you should be selected as a recipient of Momcozy's Breastfeeding Support Program?
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Your answer
What are your plans now that you are a certified IBCLC?
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Your answer
Tell us about your leadership, advocacy or volunteerism activities to support and advance breastfeeding.
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Your answer
Please share any relevant links that showcase your public leadership, advocacy and volunteerism to advance
Your answer
Please share any relevant links and/or social media profiles for us to learn more about you! Write "none" if this questions is not applicable.
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Your answer
Do you identify as a member of an underrepresented community within the lactation profession? (E.g. Communities of Color, LGBTQIA+, Individual with Disabilities, etc...)
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Yes
No
Do you have any comments or suggestions for us regarding this initiative? All suggestions are welcome!
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Your answer
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