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Mental Health Career Accelerator Interest Form

The Mental Health Career Accelerator, funded by and developed in partnership with Kaiser Permanente, is a proven model to support your professional growth and success. Read more about the program and its comprehensive supports here.

Complete this interest form to provide your contact information and the program will reach out to notify you when applications open.
1.First Name
2.Last Name
3.Personal Email Address

*Please provide an email address that you have consistent access to and check regularly!
4.In what state are you employed and pursuing licensure?

*Please note you must be employed and accruing clinical hours at a site in one of the following active markets: California (Southern California region only), Colorado, Georgia, Hawai’i, Maryland, Oregon, Virginia, Washington state, or Washington, D.C. Applicants outside of these areas are not eligible for the program at this time.