The Harris Infant and Early Childhood Mental Health Training Institute (Infant/Family Studies Program)

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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

    List two professional references (not friends or neighbors) and their contact information below.
  • Important Terms and Conditions

    Please email copies of the following documents to [email protected]: A current copy of your curriculum vitae or resume. A copy of your diploma for your highest level of education completed and any additional diplomas or certificates that may be pertinent to this program. One professional reference letter is required. 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 you in attending the training institute 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.