2024 Advanced Forum Scholarship Application

Thank you for your interest in attending the IOCDF's Advanced Forum!

The purpose of the IOCDF Training Institute Scholarship Program is to increase access to OCD and related disorders treatment for underserved communities in the United States. We will be granting a limited number of scholarships to independently licensed therapists who meet at least one (1) of the following criteria:

Therapists of color.
Therapists who practice therapy in languages other than English.
Therapists who work primarily with individuals of color, patients with public insurance (Medicare, Medicaid), and/or patients of a low socioeconomic status.

The scholarship reduces the fee of attending the Advanced Forum from $725 to $100. In addition to the reduced rate for attending the event, therapists will also receive a free year of membership with the IOCDF.

Contact Information

First Name

Last Name

Credential

Email Address

Email Address Type

Work AddressPersonal Address

Email Address

The email submitted above is used for internal purposes only. For security, do not submit a "role-based email address" that represents multiple recipients. Role-based email addresses have generic prefixes that do not identify a specific person (e.g. info@, admin@, mail@, etc.). Please enter an email address specific to you as an individual to ensure you receive all communications regarding your scholarship application.

Address Line 1

Country

City

State

State/Province

Province

Zip/Postal Code

Additional Information

License Type:

If other, please indicate which independent license do you hold?

How would you describe your race/ethnicity?

Please describe:

How would you describe your gender identity?

Please describe:

How did you hear about the International OCD Foundation and the IOCDF Training Institute?

Please describe the demographic makeup of your practice, including the following details – race/ethnicity, socioeconomic status, insurance status (public, private, etc.):

Please list any other languages spoken

For the following questions, please be as detailed as possible in your answers. The answers you provide below are the heart of your application and a major factor in selecting scholarship winners.

What would attending the Advanced Forum mean to you?

How, if at all, does your current or intended future work benefit minority and/or underserved communities?

The IOCDF has a limited number of scholarships available. If you were to receive this training opportunity, how would the skills learned over the Advanced Forum weekend be used to benefit the minority and/or underserved communities you serve?

Please upload a copy of your current resume/CV.