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 is designed to also 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of fees paid, and any degree(s) awarded may be rescinded.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
( ) Single course
( ) Certification Program (Level One)
( ) Certification Program (Levels One through Three)
( ) M.S. Degree Program
( ) Ph.D. Degree Program
( ) Postgraduate Program
( ) Paid Ambassador
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:
- Why you want
to participate in a course or the program
- Your background
and experiences
- Your personal
goals
- Your professional
goals
- Other factors
to consider.
PART SEVEN
Please
add here any statements or questions to this Grant application
process that you feel will be helpful in sustaining or improving
it, or helping us better understand your goals. Please mention
any contacts or relationships you may have that might help promote
or support the program or your participation in it.
PART EIGHT
Please
state how much personal or other funding, if any, you can budget
and commit now or over time as a contribution towards your completion
of the program you selected (above) for financial assistance.
$--------------------------
NOTE: because
of the continual survival rewards and gratifications money buys
for us, we become bonded or addicted to money and its value.
For this reason, the contribution of money usually indicates
the extent of a person's value or commitment to a program. In
addition, the financial contribution often, to their benefit,
strengthens a person's ability to honor their commitment to themselves
and the program.
Our records
show that applicants that don't make some financial contribution
to their program seldom complete the program. This wastes the
grant funds and energies spent in their behalf and in support
of the program's goals.
Financial contributions
also serve to help replenish the grant fund so others may benefit
from its purposes. The greater the number people in the program,
the more support each individual gains from all towards their
own, and the program's goals.
You may help
yourself reach you goals here by letting aquaintainces know why
you are involved with this program and asking them if they would
help you by making a contribution towards your tuition or the
grant fund.
You may use
our funding program as a challenge grant which will match by
us funds you obtain from another source,
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."
Signed:
________________________________________
Name appearing here is equivalent to signature
Project NatureConnect,
P.O. Box 1605, Friday Harbor, WA 98250
nature@interisland.net
360-378-6313