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.

 
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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)