HACU-NHMA Hispanic Leadership Development Fellowship - Hispanic Association of Colleges and Universities

Hispanic Leadership Development Fellowship Program Application Form

Thank you for your interested in the Hispanic Leadership Development Fellowship Program.

Applications are due February 26, 2022.

If you have any questions, please contact hnip@hacu.net.

This program is supported by the Office of Minority Health of the U.S. Department of Health and Human Services (H.H.S.) as part of a financial assistance award totaling $750,000 with 100 percent funded by the Office of Minority Health/OASH/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by the Office of the Minority Health/OASH/HHS, or the U.S. Government.

*Required fields are indicated by an .**
* First Name
* Last Name
* E-mail Address
Alternate Email Address
* Phone Number
* Address
* City
* State
* Zip Code
* Graduation Date
* Highest degree obtained	Fellows must be a current graduate student or have received a graduate degree in the past two years.
* Institution Name
Ethnicity (optional)
Race (optional)
Gender (optional)	Male Female
Are you bilingual in Spanish and English? (optional)	Yes No
Do you speak other languages? (optional)
Citizenship Status
* CV
* Letter of recommendation
* Personal Statement: Please state your interest in working at US Department of Health and Human Services and health equity, health disparities and/or SDOH for the Hispanic population.
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Western Regional Office