Tuition Reduction Application Form Please fill out the form below: First/Last Name, Degree * Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country PCPG program you are seeking tuition reduction for: * PCPG Intensive Study Program Summer Tavistock Relations program PCPG Annual Lecture PCPG Community Education program (please specify which one) PCPG Member Education program (please specify which one) PCPG Annual Member Retreat PCPG invites applicants to apply to our two tuition reduction funds. Please check which tuition reduction fund you are applying for. Applicants may apply to one or both funds, as appropriate. Each applicant may only be granted a total tuition credit of up to $1,000 per year for applicants to the Intensive Study Program, or a maximum of $500 per year for all other PCPG programming, to be determined by fund availability. * The PCPG DEI Tuition Reduction Fund: PCPG is committed to increasing access to its educational offerings for licensed therapists who self-identify as a person of color to support its mission of diversity, equity, and inclusivity. The Dr. Jacquie Ward Memorial Grant: The Dr. Jacquie Ward Memorial Grant is committed to increasing access to its educational offerings for licensed therapists who self-identify as having substantial financial need to support its mission of diversity, equity, and inclusivity. Please describe (in 250 words or less) how you self-identify as a person of color and/or as having financial need, and anything else you want to say about yourself. Thank you!
