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 perinatal mental health trainings through Postpartum Support International (PSI).
Email *
Full Name *
City, State/Province, ZIP *
Telephone *
If you are interested in options for the PSI 2-day Perinatal Mood & Anxiety Disorders Training, please indicate the dates of the training you would like to attend. Trainings listed below will be conducted via zoom. See more about trainings here: https://www.postpartum.net/professionals/trainings-events/psi-certificate-training/
If you are interested in options for the PSI Advanced Perinatal Mental Health Trainings, please indicate the dates of the training you would like to attend. You must have attended the PSI 2-day course, the 8 week Maternal Mental Health Course, or an equivalent before you attend the Advanced Training. Please indicate the training you have attended:
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If you are interested in options for the PSI Advanced Perinatal Mental Health Trainings, please indicate the dates of the training you would like to attend. You must have attended the PSI 2-day course, the 8 week Maternal Mental Health Course, or an equivalent before you attend the Advanced Training. All trainings in December 2020 and February 2021 will be conducted via zoom. See more about trainings here: https://www.postpartum.net/professionals/trainings-events/psi-certificate-training/
Are you a member of Postpartum Support International? (PSI) (see http://www.postpartum.net/join-us/become-a-member/)
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Are you a PSI volunteer?
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Please tell us how you identify in terms of race/ethnicity (check all that apply).
Occupation *
Employer
Are you currently a student, medical resident, or intern?
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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.
Are you currently a member of the Perinatal Mental Health Alliance for People of Color?
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Is there anything else you’d like the Scholarship Committee to know?
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This form was created inside of Postpartum Support International.