Mentee Application

To apply to become a Mentee in the ATMCH Mentorship Program, please complete and submit this web-based application. Contact Julie McDougal with questions.

In the following textarea, titled "Program Description", describe the current state of this MCH program, including...
...how long the program has been in existence.
...the number of faculty & staff (if academic) or employees (if non-academic) involved in the program.
...the focus of the projects in which current faculty (if academic) or employees (if non-academic) are involved.
...the number & titles of MCH courses taught in the program (if academic).
...the existing connections to academic institutions, community organizations & state/local public health agencies.

NoYes
Interested in developing a new MCH program
Limited resources available to support program development/strengthening
Would like assistance in facing a particular challenge
Other reason(s)