2025 BTTI Scholarship Application
Contact Information
First Name
MI
Last Name
Credential
Email Address
Email Address Type
Work Address
Personal Address
Email Address
The email submitted above is used for internal purposes only.
For security, do
not
submit a "role-based email address" that represents multiple recipients. Role-based email addresses have generic prefixes that do not identify a specific person (e.g. info@, admin@, mail@, etc.). Please enter an email address specific to you as an individual to ensure you receive all communications regarding your BTTI scholarship application.
Street Address (Including Apt, Unit, etc.)
Country
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
State/Province
Province
Please select...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip/Postal Code
Additional Information
For which BTTI(s) are you applying for a scholarship? You may select a single training or all, but only one scholarship will be awarded.
Pediatric BTTI (Virtual) • February 6–10, 2025
General BTTI (Virtual) • February 20–24, 2025
Pediatric BTTI (Portland, OR) • March 7–9, 2025
General BTTI (Richmond, VA) • April 25–27, 2025
BTTI for Treating OCD in Communities of Color (Memphis, TN) • May 16–18, 2025
Pediatric BTTI (Houston, TX) • June 6–8, 2025
License Type:
Please select...
Social Worker
Counselor
Psychologist
Psychiatrist
Psychiatric Nurse
Other
If other, please indicate which independent license do you hold?
How would you describe your race/ethnicity?
Please select...
American Indian/Native American, Indigenous, Alaska Native, or First Nations
Middle Eastern or North African
Asian
Black
Hispanic or Latin@/x
Multiracial or Biracial
Native Hawaiian, Pacific Islander
White
Prefer not to answer
Not listed (DESCRIBE BELOW)
Please describe:
How would you describe your gender identity?
Please select...
Woman
Man
Trans* Man
Trans* Woman
Non-Binary
Gender Queer
Prefer not to answer
Not listed (DESCRIBE BELOW)
Please describe:
How did you hear about the International OCD Foundation and the IOCDF Training Institute?
Please describe the demographic makeup of your practice, including the following details: race/ethnicity, socioeconomic status, and insurance status (public, private, etc.):
In which languages other than English do you practice therapy?
I do not practice therapy in any languages other than English.
Mandarin Chinese
Spanish
Hindi
French
Bengali
Modern Arabic
Portuguese
Russian
Urdu
Other
Please list any other languages spoken
The answers you provide to the following questions are the heart of your application and a major factor in selecting scholarship winners. Please be as detailed as possible in answering.
What would attending the BTTI mean to you?
How, if at all, does your current or intended future work benefit minority and/or underserved communities?
The IOCDF has a limited number of scholarships available. If you were to receive this training opportunity, how would the skills learned over the BTTI weekend be used to benefit the minority and/or underserved communities you serve?
Please upload a copy of your current resume/CV.
Contact Information