Amagi BHN Training Programme Application Form

Thank you for your interest in joining the Brain Health Navigator (BHN) Training Programme. This form helps us learn more about your background, professional setting, and goals so we can ensure a strong fit and balanced cohort.


If you are also applying for a scholarship, please complete the separate scholarship form after this application.

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Section 1: Personal Information
Full Name *
Email Address *
Phone Number *
Country of Birth *
Country of Residence *
Do you have a valid license from a professional regulatory body? *
What is the name of the professional regulatory body that issued your license? *
What is your professional license / registration number? *
Job Title *
Organisation / Practice Name *
Current Work Setting (check all that apply) *
Required
What stage are you at in your professional journey? *
Required
Years of Professional Experience *
If you successfully complete the programme, are you interested in transitioning into an internship role with Amagi? *
Briefly describe what you hope to gain from an internship or training-based professional opportunity with Amagi. *
How did you hear about the programme? *
Which cohort are you applying for? *
Section 2: Clinical and Operational Insights
Which of the following patient groups do you primarily serve? (check all that apply) *
Required
Do you currently screen for cognitive decline in your practice? *
What cognitive screening tools do you currently use, if any?
What challenges do you face in providing dementia or brain health care in your role? *
Have you previously completed any dementia care or brain health-related training? *
If yes, please specify:
Section 3: Motivation & Fit
Why are you interested in joining the BHN Training Programme? (300-500 words) *
How would this programme help you meet your professional goals or the goals of your institution/practice? (300-500 words) *
After the curriculum component of the training is complete, the second part of the Brain Health Navigator (BHN) Training Programme is a Practicum period lasting approximately 3 months. You are expected to provide a minimum of 8-12 hours per week of BHN services during this period. These services can be delivered at your current clinic, organisation, or community setting. Do you confirm your ability to integrate this into your schedule? *
Section 4: Capstone Project & Practicum Setting

As part of the Brain Health Navigator (BHN) Training Programme, you will complete a Capstone Project that applies what you’ve learned to a real-world setting. This project will be closely linked to your Practicum, which can take place in your current clinic, organisation, or community setting with support from Amagi’s team.

Capstone projects aim to address practical gaps in brain health—from early screening to caregiver support, care pathways, or awareness-raising. You'll receive weekly mentorship, toolkits, and the chance to co-create services that align with Amagi’s innovation priorities across the Caribbean.

The Capstone is not just a final assignment. It’s:

  • Your first leadership step in brain health equity

  • A contribution to regional solutions

  • A chance to pilot ideas in your setting and shape future Amagi services

Please respond to the next set of questions about your capstone. Your responses are not binding; they are just a chance for us to learn more about what you care about.
What type of setting do you anticipate using for your Capstone & Practicum? *
Which of these brain health topics interest you most? Select up to 2.
Describe briefly a challenge or gap you would like to explore in your Capstone project. (150-200 words) *
Section 5: Institutional Alignment (Optional)
Does your current organisation have an interest in improving brain health and/or dementia care pathways?
Clear selection
Would your employer potentially be open to sponsoring your participation or becoming a practicum site?
Clear selection
Section 6: Commitment Expectations
I understand that this programme includes 12 weeks of a core curriculum which is delivered through weekly live online sessions, weekly readings, consultation/coaching calls, doing readings, watching recordings, and completing weekly assignments/tasks.   *
I confirm that I will commit to the work required for this core curriculum which may total approximately 8-12 hours per week (live sessions, assignments and tasks, consultation/coaching calls, doing readings, watching recordings, etc). *
I confirm that for the weekly live online sessions I will be fully engaged. This means I will be sat in front of my computer or device, with my camera on and showing my face, and participating in the discussions and exercises. *
I understand that after the curriculum component of the training is complete, the second part of the Brain Health Navigator (BHN) Training Programme is a Practicum period lasting approximately 3 months and that I am expected to provide 8-12 hours/week of BHN services during this period. (Note: These services can be delivered at your current clinic, organisation, or community setting).  *
I confirm that I will integrate this into my schedule. *
I confirm that I have emailed my updated resume / CV to training@amagibrainhealth.org *
Required
I confirm that I have emailed my unofficial transcripts to training@amagibrainhealth.org *
Required
The tuition cost for the programme is USD 2500 (JMD 400K / GBP 1875). This includes live sessions, recorded sessions, 1-on-1 sessions focused on capstone project guidance, supervision for 120 hrs of practicum, and lifetime access to readings / literature resources bank. Will you be paying for this out of pocket, getting full or partial sponsorship from your employer, or seeking one of a limited number of partial tuition coverage scholarships available from Amagi? *
Required
If seeking partial or full sponsorship from an employer or related entity, please provide the name of key contact person, role, and contact details for the decision maker at the employing entity. *
Please provide the names, roles and organisational affiliation, emails, and telephone numbers for 3 references who can attest to your character and your suitability for enrolling in this training programme. *
Date *
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You've reached the end of the application form. Thank you for your interest in the BHN Training Programme and your application. We wish you the best of luck!

Feel free to let us know if you have any comments or questions for us.
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