Emergent Coach Training Scholarship Application

Please use this form to apply for the Emergent Coach Training Program scholarship. All applications are treated with the strictest confidence. We are a small organization and can only currently offer limited scholarship places. While you may qualify, we simply may not have the capacity to offer one. The scholarship generally gives a 50% reduction of fee for an Emergent Level 1 ACC track. It cannot be used in conjunction with other discount codes. Criteria for application includes: low (or no) income, disadvantaged communities (indigenous, POC, LGBTQ, immigrant) and disabled. If you would struggle or find it impossible to pay for this program yet would use these skills to serve your community, then please do apply.

NOTE: Before beginning we will require you to upload a brief statement from a referee attesting to your commitment and qualifying circumstances. It should be in letter form including their email and telephone and signed by them. A referee is someone who has known you for at least 3 years and is not a direct relative (parent, sibling etc.). Please render it into pdf prior to upload.

"*" indicates required fields

Name*

Email*

Phone*

Address*

WHAT SPECIFICALLY DRAWS YOU TO THE EMERGENT COACH TRAINING?*

PLEASE TELL US ABOUT YOUR CRITERIA FOR SCHOLARSHIP (LOW INCOME, DISADVANTAGED COMMUNITY, DISABILITY ETC).*

WHAT WAS YOUR PREVIOUS YEARS GROSS INCOME.*

DO YOU HAVE AND/OR LIVE OFF ASSETS (EG, STOCKS, S, PENSION ETC) OR ARE YOU SUPPORTED BY A PARTNER OR OTHER?*

Yes

No

IF YES TO THE ABOVE, WHAT IS THE ROUGH ESTIMATED VALUE OF THESE &/OR TELL US MORE ABOUT THE LEVEL OF SUPPORT YOU RECEIVE?*

WHAT MIGHT BE THE CHALLENGES FOR YOU IN UNDERTAKING THIS PROGRAM?*

HOW DO YOU INTEND TO TAKE THIS WORK TO YOUR COMMUNITY?*

OPTIONAL: IS THERE ANYTHING ELSE RELEVANT TO THIS APPLICATION YOU WOULD LIKE US TO KNOW ABOUT YOU?

Referee Statement*

Accepted file types: pdf, jpg, png, Max. file size: 10 MB.

Please upload a brief statement from a referee attesting to your commitment and, most importantly, to your qualifying circumstances. It should be in letter form including their email and telephone. A referee is someone who has known you for at least 3 years, is not a direct relative (parent, sibling etc.) and would be considered to be of good character.