New York State Public Health Corps (NYSPHC) Institutions of Higher Education (IHE) Interest Survey

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* 1. Name

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* 2. Email Address

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* 3. Institution Name

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* 4. Department

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* 5. Role/Job Title

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* 6. How would you or your institution like to get involved? (You may check more than one.)

IHE Workgroup

Mentorship

Educational programming and presentations

Placement of Students within internships, etc.

Promoting the fellowship program

Other (please specify)

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* 7. What role(s) do you see IHE’s having in the mentorship component of the PHC?

Volunteering or referring faculty to volunteer as mentors

Referring internship placement supervisors or other community connections to volunteer as mentors

IHE faculty presentations to Fellows and mentors on relevant topics and emerging research

Providing professional development resources to be available to mentors/mentees electronically

Other (please specify)

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* 8. What resources would be most useful to you in promoting the PHC fellowship program to colleagues, students, alumni, and others?

Webinars/Presentations

Online Videos

Social Media Post

Flyers

Newsletters

Public Health Corps Website

Other (please specify)

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* 9. Do you have any other feedback, comments, or suggestions at this time?

Thank you for submitting your interest in the IHE workgroup! We will be in touch!

For more information on the NYSPHC including Mentor and workgroup opportunities please visit the NYSPHC website!