Clone of Scholarship Application 2025

Thank you for your interest in attending the Healing Together conference. The scholarship is for registration only. Recipients will be responsible for their own travel, hotel accommodations, meals (those not already included by AIM), and all additional costs.

The conference committee will review your scholarship application as they come in. Applicants will be notified no later than December 20, 2025 if they were accepted for the scholarship or put on the wait list.

Scholarships are very limited and we apologize we won't be able to give one to all who need it. To maximize scholarships, please only apply if you can attend if accepted.

This scholarship is a need-based scholarship. Please indicate the level of hardship and how you plan to use the information and your experiences when filling out the questions below. For all qualifying applications, a lottery system will be used to determine final recipients. All others will be placed on a wait list.

Scholarships are funded through private donations with a special thank you to the Greer family in loving memory of Emily and to the Jenkins family in loving memory of Brian. You can read more about Emily and Brian here.

Full Name*

First NameLast Name

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

I am seeking a scholarship as a

IN PERSON first time attendeeIN PERSON returning attendeeVIRTUAL first time attendeeVIRTUAL returning attendee

Have you received a scholarship previously?

I am attending as a: (Check all that apply)

Person living with dissociation and DIDSupporterMental Health StudentMental Health Clinician

Please explain what leads you to ask for financial support to attend the conference.

What are you hoping to learn from the conference?