USTR Application Form

USTR Fellowship Application

Fill the form below accurately indicating your potential and suitability for the job.
Do you meet the following USTR Fellowship Requirements?
- Identify as a member of BIPOC or possess a disability.
- Expressed interest in becoming a therapist.
- This Fellowship is for Masters' of Social Work (MSW) students only.
- Must currently be a second-year student.
- Ready and willing to complete a field practicum at a Fathers’ UpLift location.
- Must be able to attend the United States Therapist Recruitment Kickoff as scheduled.
- Must be willing to participate in all Fellowship activities.
- Must have a LinkedIn Profile.
Do you meet the above USTR Fellowship Requirements?
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CallEmail
Morning (9am-12pm)Early Afternoon (12pm - 3pm)Late Afternoon (3pm - 5pm)
LinkedIn URL:
GoogleReferralFacebookTwitterLinkedInInstagramUniversity Job Board/Student Employment OfficeIndustry Job BoardOther (please specify)
References

Please list two (2) references that are familiar with your work life.
Reference
Reference
Resume and Cover Letter
Please use your cover letter to tell us about your passion for being a therapist and the value you would add to the first cohort of the USTR Fellowship? How we would benefit from having you as a member of the first cohort of the United States Therapist Recruitment Fellowship.
Please Upload Your 1) Resume AND 2) Cover Letter

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USTR Fellowship Application

Resume and Cover Letter