Pain Practice OS Scholarship Application
Section 1 - Applicant and Professional Background
Primary profession (physiotherapist, occupational therapist, MD,..other)
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Section 2 - Interest & Alignment
Why are you interested in joining the Pain Practice OS program
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How do you see this program benefiting your patients or community?
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What specific challenges do you currently face in managing complex pain cases?
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Have you completed any training in psychologically informed care, ACT, or pain neuroscience education?
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Have you completed any training in psychologically informed care, ACT, or pain neuroscience education?
Do you have access to employer or institutional funding for continuing education?
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Do you have access to employer or institutional funding for continuing education?
Briefly explain your financial situation and why a scholarship would make participation possible for you (responses are confidential)
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Would you be able to contribute a partial payment toward the program if awarded a partial scholarship?
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Would you be able to contribute a partial payment toward the program if awarded a partial scholarship?
Section 4 - Commitment & Impact
How will you apply what you learn to improve pain care in your local community?
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Are you willing to share your experience and results as a case study or testimonial to help others learn?
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Are you willing to share your experience and results as a case study or testimonial to help others learn?
How did you hear about this scholarship opportunity?
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How did you hear about this scholarship opportunity?
If awarded, do you commit to completing all modules, participating in live sessions, and engaging with the community?
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If awarded, do you commit to completing all modules, participating in live sessions, and engaging with the community?
