PMHA-POC Scholarship Application
This fund is allocated for individuals who identify as people of color OR who demonstrate an ability and
commitment to serve areas/populations with significant unmet need around the treatment of perinatal mood and anxiety disorders.

The scholarship will be based on financial need and a demonstrated commitment to providing treatment of perinatal mood and anxiety disorders in areas/populations with a significant need.

The scholarship will pay for registration for the following training options:
- PSI 2-Day Perinatal Mood and Anxiety Disorders Training
- PSI Advanced Perinatal Mental Health Training
- PSI & 2020 Mom Maternal Mental Health Certificate Training for Mental Health and Clinical Professionals

Information about PSI Trainings: https://www.postpartum.net/professionals/trainings-events/psi-certificate-training/

Let us know if you have any questions at info@pmhapoc.org
Email address *
Name *
Your answer
Mailing Address (street or PO Box) *
Your answer
City, State or Province, ZIP *
Your answer
Telephone *
Your answer
What are the dates and location of the training would you be selecting. 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/)
Are you a PSI volunteer?
Please tell us how you identify in terms of race/ethnicity (check all that apply).
Occupation *
Your answer
Employer
Your answer
Are you currently a student, medical resident, or intern?
Briefly describe your involvement in perinatal mental health: *
Your answer
How long have you been involved in this field? *
Your answer
Give an example of an experience in your life that has stimulated your interest in this work and your interest in this training: *
Your answer
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: *
Your answer
What financial circumstances require you to seek a scholarship to attend the training? *
Your answer
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.
Your answer
Are you currently a member of the Perinatal Mental Health Alliance for People of Color?
Is there anything else you’d like the Scholarship Committee to know?
Your answer
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