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Individual Scholarship Application Form

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Thank you for your interest in attending a Cape Cod Institute course!

The 44th Cape Cod Institute will take place from July 1st-August 23rd, 2024. 

Please visit our courses page for a complete course listing.

 

We appreciate your thoughtfulness in completing this form. Your honesty while requesting the level of aid you need is appreciated; as a small business, it allows us to sustain the Cape Cod Institute and this program. Scholarship funds are awarded at the discretion of CCI staff and are not guaranteed. 

Individual Scholarship Interest Form

Profession
Please select all that apply
Pratice/Work Setting:

Please tell us about your primary client base and your current modalities/level of training.

Why is this financial aid important to you, and what level of aid ($ or % amount ) are you requesting?

In 200 words or less, please describe how participation in one of the Cape Cod Institute courses will impact your current clinical practice, organization, or community?

What courses are you interested in attending? *
Please indicate three courses, including delivery format (in-person [IP] or live-online [V]) in order of preference.

Is there anything else you would like us to know as we review your application?

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