PART ONE:
Please acquaint yourself with this total Funding Application
Form and some of the Introductory and other material on the website using the left side
bar or the Site
Map. The application process is designed to simultaneously
provide education that helps the applicant better understand
people and the program.
Please be aware
that this Grant Application concludes with the following statement
:
"The information
supplied on my application is true and accurate. I give permission
for the degree program and the IGE Graduate Student Cooperative
to verify and confirm any aspect of the information provided
on this form and on supporting materials. All work submitted
on this application is my own, except where clearly stated to
the contrary. I understand and accept that if at any time it
is demonstrated that I have misrepresented myself or my work,
I may be dismissed from the degree program and IGE Graduate Student
Cooperative with no refund of fees paid, and any degree(s) awarded
may be rescinded. I give permission for my application material
to be shared with others anonymously to help further their knowledge
and I acknowledge that this application is void after six months
unless it is extended with permission."
This Grant
Application is for
( ) Orientation Course
( ) Certification
Program
(Level One)
( ) Certification
Program
(Levels One through Three)
( ) M.S.
Degree Program
( ) Ph.D.
Degree Program
( ) Postgraduate
Program
( ) Paid
Ambassador
(phone office)
(Select
here to obtain an application for any of the above programs)
Grant Applicant's
Name
Address
Telephone
Email
Web Page, if
any
FAX
Degrees, Diplomas
or Certificates held (if any), the school and year obtained and
your approximate grade point average.
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PART TWO:
Call Mike Cohen, Ed.D. to explore the most suitable way to have
the program and grant meet your goals 360-378-6313
NOTE: Save
a copy of your responses to the PARTS below as they can be modified
for use in the program later
PART THREE:
By way of introduction, please share a few paragraphs with us,
less than 400 words, about an attractive or heartfelt experience
that you have had with nature as a child or adult. Please express
what you think, feel and sense about that good experience and
its importance to you, if any.
PART FOUR:
Survey
Do the whole survey
but for
Sections
4, 5, 6,7.
of the survey, copy and submit to
us as part of this application what you feel to be the two most
important or significant statements for you in each of the
four sections. http://www.ecopsych.com/survey.html.
(Save this work as you may use it to enter the Orientation Course
PART FIVE:
Your responses to A-E below serve to help you and us determine
if this program and grant are appropriate for goals and interests
that we can help each other with.
NOTE: What
may appear to be low scores by you on some questions may be identified
by us as areas where we know that the program will help you grow
and enjoy greater success in this work. Therefore, the lower
your score on some questions, the greater are you chances to
obtain funding. The key is for your responses to be honest.
SUGGESTED INVENTORIES
Instructions:
Either
1. Do the A-E
inventories below as indicated
or
2. Browse the
inventories, do a few, and write a statement of less than 400
words indicating you are sure you understand the range of the
program, that it fits within your skills and belief systems and
that it is appropriate for you to participate
or
3. Sign up,
pay for and complete the Orientation Course as part of your program
($130 with books or $150 including $100 program application fee).
Upon successful completion of the course you will be grant eligible:
simply apply for the grant funds you need. The Orientation Course
is required once you enter the program so you gain valuable information
and meet that course requirement now as well as assure yourself
that you are eligible for the funding of a program you know is
right for you.
A. Conceptual Overview:
Complete the Secrets of Nature Attraction Trail
http://www.ecopsych.com/trailattract.html
and/or read
and do the
Stairway to
Wellness article
http://www.ecopsych.com/wholeness2.html
We have found
that applicants who are attracted to the materials, activities
and results of these activities and articles are very successful
in our programs and in meeting their goals.
B. Eligibility
Inventory Please
place here [ ................] your total Degree
and Eligibility score from The Eligibility Inventory located at http://www.ecopsych.com/iupseligible.html
The remaining
inventories, below, are optional.
They will, however, help you
further your understanding of Organic Psychology.
If you feel you now have suffecient
information about Organic Psychology, you may apply for the program
and funding by using the Application
Form or requesting one by email
C. Optional Personal Inventory Please place below
your A-Z scores and total score
from the Personal
Inventory located
at http://www.ecopsych.com/2004introverview.html
Scores:
D. Optional Confidence
Inventory Please
place, below, your average
score (sum
of all scores divided by 38, the total number of questions) from
the Confidence
Inventory located at http://www.ecopsych.com/2005grantconfidence.html
E. Optional Program
Overview Please
place, below, your average
score (sum
of all scores divided by 36, the total number of questions) from
the Program
Overview Question Reactions located at http://www.ecopsych.com/insightgrant.html
My Average Reactions Score is:
PART SIX:
In 400 words or less please share with us by email your thoughts
and feelings in relation to having completed Part Five and Part
Six, above, including: