The Harris Infant and Early Childhood Mental Health Training Institute (Infant/Family Clinical Practice)

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  • Contact Information

  • Education History

  • Institution Name and LocationYear AttendedDegreeMajor Subject 
  • If you are currently in a degree program, please provide the following information:
  • MM slash DD slash YYYY
  • Employment History

    List employment over past 3 years, including job responsibilities (start with most recent job):
  • Professional References

    Please obtain and provide two professional reference letters (not friends or neighbors) and list their contact information below. You can either mail the letters or have them mailed to the Harris contact at the end of this application.
  • Important Terms and Conditions. Please Read.

    Please email copies of the following documents to [email protected]: A current copy of your curriculum vitae or resume. Two professional reference letters or note that they will be sent to the Harris office. If you are attending class as a part of your employment a letter on your employer’s letterhead from your supervisor or CEO stating that they support your attending the training institute must be included. If you are a student, a letter on university/college letterhead from your adviser stating that you are in good standing in your program and that you have a practicum experience that will provide clients birth to three years of age. Copy of your diploma for your highest level of education completed and any additional diplomas or certificates that may be pertinent to this program.

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