Retreat Scholarship Application
Healing in Medicine: A Trauma-Informed Wellness Experience for Women in Medicine May 14–17, 2026
Customer Details:
Full Name
*
First Name
Last Name
E-mail
example@example.com
Phone Number
*
Current role
*
Please Select
Resident
Fellow
Attending
Others
Specialty
Years since graduation (if applicable)
Short Reflection Questions
(Responses may be brief, 1 paragraph each)
What drew you to apply for this retreat?
In what ways have stress, burnout, or vicarious trauma shown up for you during trainingOr early practice?
What would having protected space for rest, reflection, and trauma-informed supportmean for you at this stage of your career?
What barriers, visible or invisible, have made rest or support harder to access in yourmedical career?
What do you hope to take back into your life or practice after the retreat?
Commitment Statements Applicants must confirm:
Availability to attend the full retreat from May 14–17, 2026. Willingness to participate fully in group sessions and trauma-informed practices. Ability to pay for flight and transportation to and from the retreat space
Submit
Should be Empty: