Fellowship Application

APPLICATION DEADLINE Feb 6, 2024 for 2024-2025

If selected group interviews will be held on Feb 14, 2024 from 4-8 via Zoom for 2024-2025

APPLICATION DEADLINE Feb 6, 2024 for 2023-2024 

(school counseling students only if they are in an internship this year)

If selected group interviews will be held on Feb 14, 2024 from 4-8 via Zoom for 2023-2024


Fellowship Start Date *
Only select one and it must coincide with when you begin internship. Occupational Therapy students follow the guidelines given by Dr. Berliner

Academic and Professional/Dispositional Standing Agreement for IHELP Application

By submitting this application, you affirm your commitment to maintaining good academic and professional/dispositional standing within your program of study. The IHELP reserves the right to consult with your program to assess your academic and/or professional/dispositional standing at various stages, including after the application submission, during the interview process, and post-invitation (if selected to join IHELP). Applicants are required to adhere to their program's standards for field experience. If it is found that there are any academic and/or professional/dispositional concerns, your invitation may be revoked.

Demographics

Name*
Address*

Background

I identify my sex as…*
I identify my gender as…*
Race *
Are you Hispanic/Latino *
Are you a first generation student*
Are you fluent in Spanish (reading and writing with proficiency) *

Background

Health Resources and Services Administration defines a Disadvantaged Background as a setting in which a person has experienced the following one or all of the following: 


Environmentally Disadvantaged

A person’s environment inhibited them from obtaining the knowledge, skills, and abilities required to enroll in and graduate from a health professions school.


Economically Disadvantaged

A person from a family with an annual income below a level based on low-income thresholds, according to family size established by the U.S. Census Bureau, adjusted annually for changes in the Consumer Price Index, and adjusted by the Secretary of the U.S. Department of Health and Human Services, for use in all health professions programs. A family is a group of two or more people.

The Secretary updates these income levels in the Federal Register annually.


Educationally Disadvantaged

A person who comes from a social, cultural, or educational environment that has demonstrably and directly inhibited the person from obtaining the knowledge, skills, and abilities necessary to develop and participate in a health professions education or training program.

This person must also be a citizen, national, or a lawful permanent resident of one of these:

  • United States
  • Commonwealths of Puerto Rico
  • Marianas Islands
  • U.S. Virgin Islands
  • Guam
  • American Samoa
  • Trust Territory of the Pacific Islands
  • Republic of Palau
  • Republic of the Marshall Islands
  • Federated State of Micronesia
Please indicate which above applies to your background

Training

Program of Study
Transcript*
No File Chosen
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Recommendation
No File Chosen
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Only needed if your GPA is between 3.0-3.49

Essay

Provide a 500-word essay as to why you wish to provide behavioral health services to children, adolescents, and transitional-aged youth (e.g. college age) who are at risk for behavioral health disorders in high need high demand areas after graduation

Submit Essay Here*
No File Chosen
File uploads may not work on some mobile devices.

Signature

If selected, I agree to comply with the IHELP standards:

•To complete on average 3-5 hours per month of additional education including activities such as webinars and interprofessional events.

•To work be open with working with children, adolescents, and transitional-aged youth and families in the Bronx or a medically underserved area 

  • To provide demographic information during the internship experience
  • To discuss fellowship with Site Supervisor to receive training as well with compensation.
  • To be open with working in behavioral health with children, adolescents, and transitional youth in economically disadvantaged and underserved communities after graduation.
  • To provide post-graduation information
  • To be in good academic and professional/dispositional standing in your program of study


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