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The 2024 Level 2 PACT Institute Scholarship

Application Instructions For the scholarship application, you will be asked to submit EITHER a:

School transcript, if you are currently in school or graduated within the last 3 years
Resume or CV, if you graduated more than 3 years ago

IN ADDITION, you will be asked to submit a letter of recommendation written by a:

Teacher or supervisor, if you are currently in school or graduated within the last 3 years 
Peer clinician or a teacher/supervisor, if you graduated more than 3 years ago 
The letter of recommendation should include: 

Contact information of the person writing the letter
How long they have known the applicant 
In what capacity they have known the applicant
Reasons why they recommend the applicant for PACT training, including any specific examples or insights they have about how the applicant works with couples or individuals.
 

Guidelines to Apply, Submit, Format

Application. Please have these documents ready before beginning your application. You will NOT be able to save your application and return to it later.

Submission. All documents must be included in the application submitted via the website. Documents submitted via email will NOT be accepted.

File format. We accept the following file formats for document uploads: Microsoft Word, PDF, JPEG or PNG. Applications using other formats will NOT be accepted.

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Question 1 of 24

Name:

Question 2 of 24

Email: 

Question 3 of 24

Location (City, State, Zip Code OR City, Country if not in the US)

Question 4 of 24

Degree(s) (earned or expected) and year(s):

Question 5 of 24

Graduate school you are attending or attended:

Question 6 of 24

If you are currently in school or graduated within the last 3 years, please attach your most recent transcript. If you graduated more than 3 years ago, please attach a resume or CV.

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Question 7 of 24

If you are currently in school or graduated within the last 3 years, please attach a letter of recommendation from a teacher or supervisor. If you graduated more than 3 years ago, please attach a letter of recommendation from a peer clinician or a teacher/supervisor. The letter should include contact information of the person writing the letter, how long they have known the applicant, in what capacity they have known the applicant, and reasons why they recommend the applicant for PACT training.

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Question 8 of 24

Employer or supervisor name and contact information

Question 9 of 24

How long have you been in practice as a therapist?

Question 10 of 24

When did you complete PACT Level 1 training?

Question 11 of 24

Do you see couples? 

If so, approximately what percentage of your practice is couples?

Question 12 of 24

What are your career goals?  (Please describe in about 100 words.)

Question 13 of 24

Why do you want to take PACT training? (Please describe in about 100 words.)

Question 14 of 24

Which of the following best describes you? Select all that apply. 

(Select all that apply)
A

Asian

B

Black or African American

C

Hispanic or Latinx

D

Native American or Alaskan Native

E

Native Hawaiian or Other Pacific Islander

F

White or Caucasian

G

A race/ethnicity not listed here

H

Prefer Not to Answer

Question 15 of 24

Please describe your financial need. Why are you applying for this scholarship?

Question 16 of 24

Is there anything else you’d like to tell us about yourself that you believe makes you a good candidate for the scholarship?

Question 17 of 24

Please describe the communities you serve.

Question 18 of 24

Is your primary place of practice a city-, county-, or state-level government agency and/or publicly funded organization that works with under-resourced communities?

A

Yes

B

No

Question 19 of 24

Do you serve or have you ever served in the military?

A

Yes

B

No

Question 20 of 24

Are you a frontline health care worker or an emergency responder?

A

Yes

B

No

Question 21 of 24

What percentage of your clients are in the military, frontline workers, or first responders?

Question 22 of 24

Which PACT training do you plan to enroll in?
Each cohort is for a different date and time. Please check the website for the most appropriate time for you. If you check "Either cohort" and are selected, the scholarship selection committee will offer you a scholarship that is for one cohort of their choosing which is non-transferable to another cohort.

A

Level 2, Cohort 1 (7am - 12:30pm Pacific Time)

B

Level 2, Cohort 2 (2pm - 7:30pm Pacific Time)

C

Level 2, Either Cohort (if you have a preference, do not select this)

Question 23 of 24

How did you find out about this scholarship?

Question 24 of 24

How did you find out about this scholarship?

A

PACT Email

B

PACT Newsletter

C

PACT Website

D

PACT Social Media

E

Colleague

F

Supervisor

G

Other

Confirm and Submit