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CT PHFP Agency Field Placement Proposal Application and Instructions

This application should be completed by a public health agency or fellowship preceptor. An eligible student fellow can be identified before or after the placement is approved.

Agency eligibility requirements:

  • must be located in the State of Connecticut
  • eligible agencies include local Health Departments/Districts, DPH programmatic units, or other state or local government agencies, or community-based public health agency that works closely with the state or local health agencies
  • able to provide a structured fellowship position that involves at least 200 hours of direct public health practice, and
  • provide exposure and work activities related to health equity, essential public health services, and public health careers

Agency-driven Process

Agency chart

Proposal Application and Instructions

Ready to submit a Fellowship Placement Proposal? Download a preview copy of the application. This will give you an opportunity to prepare the required information. To ensure you qualify for the program, please read the instructions before beginning the application process.