Application: Scholarship

Spring Institute Scholarship Application

Name, Credentials:*

E-mail:*

Phone Number:*

Scholarship you are applying for:*

Susanne M. Jensen, PhD ScholarshipDoug Greve, MD Scholarship

Letter of Interest:*

Eligibility Requirements

Sue Jensen, Ph.D. Scholarship: Two (2) applicants will be chosen dependent on availability of funds. Qualified applicants are those currently in graduate school or medical residency specializing in psychology, psychiatry, clinical social work, or counseling, who show a special interest in group psychotherapy.

Doug Greve, MD Scholarship: Two (2) applicants will be chosen dependent on availability of funds. Qualified applicants are those currently practicing in the field of psychology, psychiatry, clinical social work, or counseling, who show a special interest in group psychotherapy.

By typing my name in the box below, I verify that I am eligible to receive the scholarship I am applying for, based on the descriptions above.

Scholarship Amounts

For both the Sue Jensen, Ph.D. Scholarship and Doug Greve, MD Scholarship, your registration to the conference will be free.

By typing my name in the box below, I acknowledge that I have read the above description of what is included in the scholarship award.