Apply for Scholarship - Memory Bridge

Scholarship Application: US Retreat

Thank you for your interest in joining us for the 2020 Memory Bridge Retreat. The retreat will be held June 16–21 at the Tibetan Mongolian Buddhist Cultural Center in Bloomington, Indiana.

Applications will be accepted through February 15, 2020. Scholarship recipients will be announced on March 15, 2020.

All applications should include the following items:

A completed application form (below).
A one-page (single-spaced) statement of purpose. Explain how you imagine the experience of the training retreat will impact the life of a person, or lives of persons, with dementia.
Your resume or CV. Care partners may choose to submit a paragraph or two about yourself instead of a resume.
Two completed Reference Forms from people familiar with your work or care partnering (for example, a co-worker, friend or relative, supervisor, or family caregiver).

Please note: This is the application for the retreat to be held in the US in June. If you are looking for the application for the summer retreat in the UK, please click here. You may apply for both the UK and US retreats if you wish. Your application materials may be identical, but you must submit them separately for each retreat. Please also include a note with both applications letting us know which retreat you would prefer to attend, if selected.

SCHOLARSHIP APPLICATION FORM

Online Application

First Name *

Last Name *

Email *

Phone *

Street Address *

City *

State

Zip Code

Country *

Name of Organization

For Professionals

Job Title

Please tell us why you are interested in attending this training. *

Please describe your understanding of the mission of Memory Bridge. *

Anything else you'd like to share?

Statement of Purpose

Explain how you imagine the experience of the training retreat will impact the life of a person--or lives of persons--with dementia. One page, single spaced.

Please upload your statement of purpose here. *

Maximum file size: 268.44MB

Resume

Care partners may choose to submit a paragraph or two about themselves instead of a resume.

Please upload your resume or curriculum vitae here. *

Maximum file size: 268.44MB

References

Please use the downloadable reference form below. Your references may return these to you to attach here, or may opt to send them separately to carvelynne@memorybridge.org. If your references will be submitting the forms by email, please upload documents with their names and contact information below.

2020 Reference Form (click to download)

Reference #1 *

Maximum file size: 268.44MB

Reference #2 *

Maximum file size: 268.44MB

Would you like to receive updates on Memory Bridge events and news? (This has no effect on your application.)

Yes, please sign me up for the Memory Bridge newsletter.

No thanks.

Online Application

Statement of Purpose

Resume

References

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