Application Process
Applications now open for the 2025 Cohort.
Deadline: Friday, January 17, 2025 at 5:00 pm (PST)
Prospective Fellows
Prior to submitting your application:
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Confirm your availability to participate in a two-day, Onboarding Training.
By application deadline:
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Complete the online application
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Obtain a letter of support from your employer. (Sample "Employer Letter of Support")
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Participate in a brief phone call with the Champion Provider Fellowship liaison within your local health department*
Download: Preview Application Questions
Local Health Departments
Prior to submitting your application:
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Confirm your availability to participate in two-day, Onboarding Training.
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Identify your county's primary and secondary liaisons for Fellowship participant(s)
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Identify healthcare provider(s) you would like to nominate in your county for Fellowship
By application deadline:
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Complete the online application
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Obtain a letter of support from your local health officer (LHO). (Sample "LHO Letter of Support")
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Participate in a brief phone call with the Champion Provider Fellow applicant in your county*
Download: Preview Application Questions
*The Champion Provider Fellowship team will coordinate these phone calls.
Champion Provider Fellowhsip Recruitment Webinar, August 15, 2024
Handout: Champion Provider Fellowship Recruitment Q&A Webinar Slides