PMHA-POC Scholarship Application
We are excited to announce that in light of our mission to build capacity among perinatal professionals to better support individuals, families and communities of color around perinatal mood & anxiety disorders, “The Alliance” is offering scholarships for people of color to attend PSI perinatal mental health trainings or take the PMH-C certification exam, once approved.

Priority consideration for scholarships is given to individuals who are members of the PMHA-POC. Visit to join.

The scholarship is based on financial need and commitment to the field of perinatal mental health. We have a limited number of scholarships available each year.  

* Scholarship applications are reviewed on the 15th of each month. *

For questions, contact

Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
City, State/Province, ZIP *
Telephone *
Which training(s) are you interested in? Check all that apply.

If you are interested in options for the PSI 2-day Perinatal Mood & Anxiety Disorders Training, please indicate the dates of the training you could attend.  See more about trainings here: 
Have you already been approved to take the PMH-C exam?
Clear selection
Are you a member of Postpartum Support International? (PSI) (see
Clear selection
Are you currently a member of the Perinatal Mental Health Alliance for People of Color? 
Clear selection
Are you a PSI volunteer?
Clear selection
Please tell us how you identify in terms of race/ethnicity (check all that apply). *
Are you currently a student, medical resident, or intern?
Clear selection
Briefly describe your involvement in perinatal mental health: *
How long have you been involved in this field? *
Give an example of an experience in your life that has stimulated your interest in this work and your interest in this training: *
Can you provide bilingual and/or bicultural expertise? *
Briefly describe what specific information, skills or contacts you will be seeking at the training, and how you want to make use of them: *
What financial circumstances require you to seek a scholarship to attend the training? *
Have you attended a perinatal mental health training before? *
If you are a student, please tell list school are you attending, as well as your expected degree and year of graduation.
Is there anything else you’d like the Scholarship Committee to know?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Postpartum Support International. Report Abuse