NCIMHA Endorsement Interest Form

We are delighted you have reached out to NCIMHA to register your interest in working toward Infant or Early Childhood Mental Health Endorsement® Due to the amount of interest we have received, we have decided to proceed with the creation of this interest form. The information you provide here will aid us in matching interested Endorsement applicants with upcoming cohorts, so please do your best to fill out the form fully and completely.

Please note: Infant Mental Health Endorsement (IMH-E®) is tailored towards professionals working with or on behalf of children prenatal to three. Early Childhood Mental Health Endorsement (ECMH-E®) is tailored towards professionals working with or on behalf of children ages 3-6, and will be available in May 2023. 

For more information about the Endorsement process & fees, please feel free to visit our website (www.NCIMHA.org) or email the Endorsement Coordinator (Endorsement@NCIMHA.org).
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Privacy Statement: The personal information you share within this form will be collected and stored, with access made available to: NCIMHA staff and/or Alliance for the Advancement of Infant Mental Health staff in order to support decisions about cohort placement. Otherwise, your identifying information will be kept confidential.  Aggregate data from this form will be used to guide, inform, and drive decision making within NCIMHA and help us partner with other agencies/funders to better support Endorsement applicants moving forward.   *
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