Scholarship Application Form

Scholarships will be for EMDR Training in India through the EMDR Association of India. You can view upcoming training dates & locations on their website (click here).

This training is for existing mental health professionals. If you are not a mental health professional but would like to request help with training, please fill out our project form instead.

Organization/Company Name (not required)

Your Name

First Name

Last Name

Email Address

Are you a graduate from a mental health or social science program (including psychology, psychiatry, human development and social work) from a UGC recognized university?

The list of UGC universities is found at https://www.ugc.ac.in/oldpdf/Consolidated%20list%20of%20All%20Universities.pdf This is an eligibility requirement for the EMDR Association of India training.

Yes

Training Dates

Which training dates will you be able to attend (https://emdrindia.org/training/) ?

Describe your work with trauma surivors

Include the name of any organization that you work for and the responcibilities that you have.

Who does your work benefit?

Please describe the community that your work benefits - ie. how many people will be affected, who they are (men, women, or children), what are their needs.

Why do you need this scholarship for your work?

(i.e. financial needs, need for more trained professionals)

Reference/Supervisor Name

Give the name of a reference who can verify the information shared above. This name should be the person who supervises your work with trauma suriviors, if applicable.

First Name

Last Name

Reference/Supervisor Phone Number

Reference/Supervisor Email

I understand that the information provided above will be reviewed by Hope Roots staff and board members. I understand the scholarship will not receive any funds or other help from Hope Roots unless approved. I understand that further interviews and further references may be required.

Yes

Thank you for helping us give hope!

Scholarship Application Form

Hope Roots Therapy Office (by appointment only):

109 Cameron Drive A Fort Collins, Colorado 80525-3894

For Therapy Intake or Inquiries Call/Text: (970) 200-8575