Scholarship Application Form: International Forum on Consciousness

Name*

First Last

Title/Position*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Application letter

Accepted file types: doc, docx, pdf, txt, Max. file size: 50 MB.

Please upload your application letter. To apply for a scholarship, please explain (1) why you are interested in attending the Forum; (2) how you will share information gained with others; (3) why financial assistance is required for your attendance. NOTES: This year, priority for scholarships will be given to applicants who complete strong applications that also demonstrate financial need. A second priority this year is to support the attendance of applicants who meet the above criteria and have not received scholarships in prior years. Applications will be reviewed as received. Thanks!

Please indicate the appropriate category for your application:

I am applying for a partial scholarship ($150 value).
I am applying for a full scholarship ($300 value).

Your application

The BTC Institute will share your contact information with sponsors, if so requested, unless you specifically advise us (btci@btci.org) to keep that informational confidential.