Scholarship Application This form is for applicants for a scholarship for select RCT courses. Your submission will be kept confidentialAll information you provide will be kept strictly confidential.Scholarship Need(Required)Hello! Thank you for your interest in Relationship Centered Training & Suzanne Clothier's work. Please tell us why are you seeking this scholarship? With the understanding that each scholarship is directly funded by Suzanne Clothier & Alissa Mosier, please let us know how this scholarship will ease the hardship of paying for this course at full price? Current courses(Required)Are you currently enrolled in any other courses, with Suzanne or any other online programs? Please list all courses you are currently taking, or plan to take in the next 6 months.Prior enrollments with Suzanne Clothier?(Required)Have you taken any prior courses with Suzanne? Which ones? Have you previously used any scholarships offered by Suzanne? How will you use this course?(Required)Please let us know how the specific sklils or techniques in this course will be put to use by you.ABOUT YOUName First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email1(Required) Enter Email Confirm Email WebsitePlease provide the URL for your website, or the website for your organization. Facebook(Required)Please provide your Facebook URL. If you do not have a FB account, please just enter NONE Which best describes you?(Required) NON-PROFESSIONAL This means you are not involved in accepting payment for working with people and/or dogs, whether virtually, one-on-one or in group classes. PROFESSIONAL Professional means that you are involved in training others and/or their dogs, whether in virtual, private or group settings and accept payment for your services. This applies whether you are full or part-time. SHELTER STAFF means that you are a paid staff member for a registered 501(c)3 non-profit shelter or sanctuary How will you use this course?(Required)Please let us know how the specific sklils or techniques in this course will be put to use by you.Which scholarship are you applying for?(Required)At this time, we offer a Needs-Based Scholarship (25% discount on full price) and a Shelter Staff Scholarship (50% discount on full price). Needs-Based is self determined on the honor system, and indicates that you and your family would face hardship trying to pay the full enrollment fee. Shelter Staff Scholarship is available to paid employees of a 501(c)3 non-profit or governmental animal shelter or sanctuary. You understand that you must pay the complete amount of the balance due once the scholarship has been applied. You may not combine any coupon code(s) or Early Bird Dog registrations discount with your scholarship. Needs-Based Scholarship 25% Shelter Staff Scholarship 50% Tell Us About Yourself(Required)Tell us about yourself, your experience, plans and anything else you'd like us to know about you.Consent(Required)I understand that these scholarships are fully funded by Suzanne Clothier & Alissa Mosier, and as such, is available only to those with genuine need. All scholarships are provided on an honor system. I understand that I cannot enroll in any other professional level course offered by Suzanne Clothier and her colleagues until I have successfully completed the scholarship course. I understand that I may be turned down for a scholarship without explanation and possibly due to a limited number of scholarships available for each course. I understand & agree to these scholarship policies.CAPTCHA
