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Registered Mental Health Intern Scholarship for Licensure Exam (NCMHCE)
In order to be considered for the scholarship all applicants must be FMHCA members. If you are not a member
click here
to join.
*
1.
Information
(Required.)
Last Name, First Name
Email
Phone Number
Registered Intern License Number (ex: IMH1234 or Still A Student)
University Attended
*
2.
Are you a Student or Regular Member with FMHCA
(Required.)
Yes
No
*
3.
Copy of Unofficial Transcript
(Required.)
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No file chosen
*
4.
Curriculum Vitae/Resume
(Required.)
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No file chosen
*
5.
400–600-word essay describing how you will implement the vision and mission of FMHCA.
(Required.)
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No file chosen
*
6.
Letter of recommendation from Qualified Supervisor or Current Professor
(Required.)
Upload Document
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No file chosen
*
7.
Proof of registration for the National Clinical Mental Health Counseling Examination (NCMHCE)
(Required.)
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No file chosen
*
8.
Proof of payment for the National Clinical Mental Health Counseling Examination (NCMHCE)
(Required.)
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No file chosen
*
9.
Applicant Photo (should you be selected as a winner we will use this photo to feature you as a winner across our publications)
(Required.)
Please submit a professional photo.
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No file chosen
*
10.
Applicant Bio (please submit bio in the third person)
(Required.)
11.
Please provide us with links to your social media accounts (professional only)
Instagram
Facebook
Twitter
Linked-In
Pinterest
*
12.
If selected as a winner, does FMHCA have permission to feature you on our social media accounts and InSession Magazine?
(Required.)
Yes
No
