ISPSO Scholarship Fund Application Form

2. Professional Information
Current Role/Title*
Organisation / Affiliation*
Field of Practise*
(e.g.Psychoanalytic practitioner, organisational consultant, academic, etc.)

3. Activity Details
Event Name*
Event Start Date*

MonthDayYear
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Event End Date

MonthDayYear
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Location (if applicable)
Event Description
Please provide a brief overview of the event and its relevance to ISPSO

5. Statement of Purpose
How will attending this event contribute to your professional goals and development?*
How does your participation align with ISPSO’s mission and benefit the broader ISPSO community?*

6. Additional Considerations
Are you actively contributing to ISPSO initiatives (e.g., committee work, event planning)? *
Have you previously received support from the ISPSO Scholarship Fund?*

YesNo

7. Agreement
By submitting this application, I affirm that the information provided is accurate to the best of my knowledge. I agree to submit a reflection or report on my experience if I am awarded a scholarship.
Signature*

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Date*

MonthDayYear
Select date
PLEASE CLICK THE SUBMIT BUTTON BELOW
You should receive a confirmation email within a few minutes.
PRIVACY NOTICE:
Below is a brief summary of how we process your personal data. For more detailed information, please read our Privacy Policy.
DATA COLLECTION
ISPSO is the controller of the personal data you provide to ISPSO. We collect identity, job-related and financial information about you.
PURPOSES OF COLLECTION
We will use your personal data to manage and administer your member account, personalise content and analyse how to improve our services. With your consent we would like to keep in touch with you about the work we are doing.
SHARING
We will share your data with the ISPSO board members, with vendors and service providers, and with other organizations as required by law.
YOUR CHOICES
You can exercise your privacy rights at any time. Your privacy rights include access, correction, erasure, restriction, objection, and data portability. You can contact ISPSO Administrator: admin@ispso.org Executive Director: admin-dir@ispso.org
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