Apply for a Scholarship

ICEA 2023 Scholarship Form

Please complete this questionnaire and answer to the best of your ability. Completing this application is the only way to be considered for scholarship funds from ICEA. If you have questions or concerns about what is being asked, feel free to reach out to the Scholarship Committee at treasurer@icea.org, or to ICEA staff at info@icea.org.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Scholarship Questions

Please select the program related to the scholarship you are applying for:(Required)

Childbirth Educator certification program

Birth Doula certification program

Post-partum Doula certification program

Other

Please select the scholarship you are applying for. Note that ICEA Workshops are not a part of the scholarship program at this time:(Required)

Enrollment fee

Exam/certification fee

Enrollment and exam/certification fees

Other

If you are applying for a scholarship towards a certification program, have you already completed the ICEA Workshop for that program? If so, please indicate the date and location of the workshop you attended (or indicate online workshop).

Explain your anticipated timeline for completing the program you are applying for:(Required)

Provide a statement demonstrating your financial need. What is your financial need specifically?(Required)

Apply for an ICEA Scholarship

ICEA 2023 Scholarship Form

Scholarship Questions

Additional Documentation