Fellowship and Grant Fund Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The USC Center for Health Journalism Fellowships and Grants are open to U.S.-based professional journalists writing about health and social welfare topics for independent news media outlets. Feel free to email us with questions at chj@usc.edu. If you have more detailed questions about our programs or would like to discuss your story proposals, fill out the form below and a member of our team will be in touch.

First and Last Name *

Email Address *

Phone Number *

Name of Media Outlet *

Beat (health, science, general assignment, etc.) *

Are you a full-time U.S.-based journalist? *

Yes

Which of our programs are you interested in? Select all that apply. *

National Fellowship

Data Fellowship

California Fellowship

Impact Fund for Reporting on Equity in Health and Health Care

Child Welfare Impact Reporting Fund

Domestic Violence Impact Reporting Fund (for California-focused projects only)

Lori Yearwood Fund for Reporting on Homelessness

I'm not sure and would like to learn more

Required

Are you interested in applying for a supplementary Community Engagement grant?

How did you hear about USC Center for Health Journalism Fellowships and Grants?

Social media

Weekly newsletter

Referral from a friend

Other:

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of University of Southern California.

Does this form look suspicious? Report

Forms