NARM Training Scholarship Application
Name
*
Company
Email
*
example@example.com
Street Address
*
City
*
State/Province
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Postal / Zip Code
*
Country
*
Phone Number
-
Country Code
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Area Code
Phone Number
Please select the NARM Training for which you are applying for a scholarship.
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Please Select
Level 2 - Therapist Training
Level 3 - Master Therapist Training
*Please note that a valid mental health license that allows the participant to practice psychotherapy, or active status as a graduate trainee or clinical intern working toward licensure, is required for those seeking entry into Level 2 Training or higher. These requirements do not apply to those seeking entry into Level 1 Training.
Profession:
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Which of the following best describes you? Please select all that apply.
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I am a licensed clinician in psychology, counseling, social work or a related mental health field.
I am a full-time graduate student, or a clinical intern working towards licensure in psychology, counseling, social work, or a related mental health field.
I work as a helping professional.
Other
Please provide verification of the Graduate Program or Clinical Internship you are currently enrolled in.
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Enrollment verification, Acceptance letters, or Current course schedule are acceptable.
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License Type, License Number, and State:
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Why are you requesting a tuition discount for the NARM Training?
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Do you work for a non-profit, or non-governmental organization?
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Do you work with underserved and/or marginalized populations?
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How do you foresee using NARM in your work?
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What is your long-term vision for your career and how do you foresee NARM supporting it?
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Is there anything else that you would like for us to know about your interest in NARM and/or request for a scholarship?
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