MICP Scholarship Application Form

The MICP Scholarship Fund offers a $100 registration discount to BIPOC (Black, Indigenous, and People of Color) who are any of the following:

Caregivers (in professional or personal contexts)
Going through a career transition
Are un/under-employed
Need financial support

The discount will be applied to the lowest sliding scale course fee, so recipients will be able to register for MICP at either $700 or $750 (for those seeking chaplaincy or social work CEs). Recipients can request to set up a payment plan (of 4 monthly installments).

We have limited funds and will allocate them based on a first come-first serve basis for applicants meet the fund criteria. Please do not apply if you have institutional support or can afford the existing rates (which also allow for payment plans).

All applicants will be notified on or before July 30, 2026.

Scholarship recipients will get a separate link to register at the discounted rate.

All information will be deleted after the application process ends.

Full Name

First NameLast Name

Email

Where the confirmation will be send to

Are you BIPOC (Black, Indigenous, or Person of Color)?

Is your context aligned with the scholarship focus (caregiver, care worker, career transition, un/under-employed, and/or would benefit from financial resourcing)

Briefly share why you are interested in taking MICP and what you hope to learn/apply from the program:

0/300

Are you able to fully participate in MICP, including all the live sessions (linked in the registration page)?

Which discounted rate are you applying for (based on continuing education credits, CEs):

If you were to receive the scholarship, would you make a one-time payment or a payment plan (4 monthly installments)?

By typing in your name below, you are confirming that all information is true. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

Signature