Therapist of Color Grant Application Please answer the following questions:
Your name
Your pronouns
Your phone number
Your email
What is your current license type and license number?
Are you a Black, Indigenous or Person of Color who has been impacted by systemic racism as it relates to your access to fair, quality, and advanced educational opportunities? Please share as much as you feel comfortable.
How do you believe this grant may impact you in a positive way?
What else do you feel is important for us to know?