IEC Conference Scholarship Application 2023

2023 Infant & Early Childhood

Mental Health Conference

November 5, 6, & 7 | In Person & Recorded Options

Scholarships are available to those who hope to attend this year's Infant & Early Childhood Conference where registration costs may be a barrier to attendance.

To be considered for a conference scholarship, please fill in the information below as completely and accurately as possible by Friday, September 15, 2023. Recipients will be notified by Friday, September 22nd if they have been awarded a scholarship.

Learn more about our conference on our website. Email lmoberg@macmh.org with any questions.

PLEASE NOTE: If you work as a Licensed Mental Health Clinician or Clinical Trainee, the MN Department of Human Services is providing a number of scholarships for attendance at the conference. Please CLICK HERE first and fill out DHS's application. If DHS is unable to provide you with a scholarship, you will be automatically entered into MACMH's pool of scholarship applicants.

First Name *

Last Name *

Email: a confirmation of application will be sent to this email, please double check your entry. * 🛈

Primary Phone * 🛈

This is my:

Home

Work

Cell

Address *

This address is my: *

Home

Work

City *

State *

Zip *

County (Please choose "other" if you are not in MN) *

What is your primary type of employment? *

As an organization dedicated to the Diversity-Informed Tenets for Work with Infants, Children, and Families, tenet #9 encourages us to make space and open pathways for all to attend our conference and professional development offerings. Tenets #9 says "Infant, child, and family-serving workforces are most dynamic and effective when historically and currently marginalized individuals and groups have equitable access to a wide range of roles, disciplines, and modes of practice and influence."

If there is anything you would like us to know about your own experience of equitable access feel free to share it here: *

No thanks I have nothing to share.

Yes: Yes:

Would you like to share any other information about why you would benefit from a scholarship?

Thank you for taking the time to fill out this application! We will be in touch by September 15th if you are awarded a scholarship.

Minnesota Association for Children's Mental Health, Infant & Early Childhood Division

Early Childhood Educator (Early Childhood Family Education, Special Education & Classroom Teacher, Child Care, Family Friend & Neighbor, etc.)	Education Professional (i.e. Para, School Nurse, School Counselor, School Psychologist or School Social Worker)	Mental Health Therapist/Professional (Psychologist, Psychiatrist, Counselor, LPCC, LICSW, LMFT, etc.)
Child Welfare Professional (Child Protection, Guardians Ad Litem, etc.)	Health Care Provider (PHN, Nurse, Doctor, Occupational Therapist, Physical Therapist etc.)	Student
Faculty Member	Social Service Professional	Home Visitor
Other: Other: