Polyvagal Institute Course Scholarship Application

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Thank you for considering an application for a PVI course scholarship!

Applications can be submitted until midnight US Pacific Time two weeks before the start date of a fixed schedule (live or hybrid) course. Awardees are typically notified one week before the course begins.

For self-paced/asynchronous courses, PVI offers scholarships on a rolling basis

If you are an international applicant fluent in a non-English language, please be sure to consider courses on the websites of our international partners. You can find a list of our international partners on the PVI website.

Demographic questions are used for us to capture a baseline for who is engaging in our courses.

While scholarship spots are limited, making our courses financially accessible is important to us. We appreciate your sharing feedback and questions regarding scholarships with our team at info@polyvagal.org.

Email *

First and last name *

For which course are you applying for scholarship? *

Your location (city, state, country) *

Please describe your relevant educational and professional experience. *

Why are you requesting a scholarship for this course? *

How will taking this course benefit you and others? *

Please provide an amount in USD that you would be willing and able to pay to make the course accessible for you.

Keep in mind that it is possible to pay this total amount in three monthly installments. Please specify your preference for 1 payment or 3 monthly payments.

*While we cannot guarantee that we can meet the amount if you are awarded the scholarship, we can take it into consideration.

What is your gender? *

Female / Woman

Male / Man

Nonbinary / Agender

Genderfluid

I prefer not to answer

Please select the racial or ethnic groups with which you identify? *

Asian / East Asian

Black

Caribbean

Indigenous / Native / First Nation

Latin American

Middle Eastern / North African

Native Hawaiian or Other Pacific Islander

South Asian

Southeast Asian

White-Caucasion

I prefer not to answer

Required

What is your highest level of education? *

Less than a high school diploma

High school degree or equivalent (e.g. GED)

Some college or vocational credit, no degree/certification

Technical/Trade/Vocational training, certification

Associate degree (e.g. AA, AS)

Bachelor’s degree (e.g. BA, BS)

Master’s degree (e.g. MA, MS, MEd)

Professional degree (e.g. MD, DDS, DVM)

Doctorate (e.g. PhD, EdD)

I prefer not to answer

What is your age? *

Under 18 years

18-24 years

25-34 years

35-44 years

45-54 years

55-64 years

Over 64 years

I prefer not to answer

Send me a copy of my responses.

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