Complete this page to add a new program to the directory.
The name of the program.
Program logo (optional)
Picture file of the program’s logo (JPG or PNG work best).
Primary host or implementing organization for the program
Brief program description
Brief description of program history
Such as year established, years in operation, any prior program this program may have grown out of, etc.
Number of unique participants in the past year
What health profession(s) are the focus of the program?
Psychology, Clinical or Counseling
Other (please specify):
Select all that apply.
(Other) Please specify
Limit on number of participants
Is there a limit on the number of program participants (e.g., in a given year or offering)?
Description of limit on number of participants
Please briefly describe limit(s) on the number of participants.
Duration of participants’ involvement
What is the duration of each participant’s involvement in the program? (e.g., 10 weeks, 1 semester, 2 years)
Participants education level
Select all that apply.
Programs sharing matriculation
Please briefly describe any programs that this program articulates with (i.e., participants are able to flow into the program from another program and/or enter another program after completing this one).
Description of affiliations
Please briefly describe umbrella organization(s) and/or program network(s) with which this program is affliated at the regional, state, or national level (e.g. AHEC, HRSA HCOP programs, etc.).
Locations and Timing
In-person or virtual components
Virtual/remote - permanent, or adaptation due to COVID
Does this program include in-person and/or remote (virtual) components?
Locations for in-person components
Please briefly describe the location(s) for the in-person component of the program.
County of primary location
Cook County / Chicago
De Witt County
Jo Daviess County
Rock Island County
St. Clair County
The county where this program is primarily located.
Description of virtual components
Please briefly describe the virtual (remote) component of the program (technology requirements, synchronous or asynchronous, etc.)
Timing of program activities
When do program activities take place (e.g., summer, throughout a semester or academic year, afterschool hours, weekends)?
Primary desired outcomes
What are the primary desired outcomes of this program and indicators of success? This can include things like: A and B grades in science courses, improved performance on practice MCAT exam, acceptance to health professions graduate program, etc.
Primary areas of focus
Recruitment (i.e. increasing awareness of and/or stimulating interest in health profession careers and degree programs
Admissions (assistance with application process for health profession degree programs)
Academic preparation (e.g., increasing STEM knowledge
Retention or completion of health professions degree programs (support for those currently enrolled)
Other (please describe):
What are the main area(s) of focus for the program?
(Other) please describe
Components of this program
Academic instruction (e.g. coursework)
Academic skills development (e.g. study skills, test-taking
Academic support (e.g. tutoring, progress monitoring)
Application guidance/support (e.g. standardized test prep)
Conditional admission (to a health profession degree program)
Health career exploration (e.g. job shadowing, career fairs)
Mentoring (e.g. pairing with current health profession student)
Networking (with others who have similar health career interests)
Professional skills development (e.g. teamwork, ethical conduct)
Research experience (e.g. summer program)
Description of academic instruction component
Please briefly describe the program’s academic instruction component.
Description of academic skills component
Please briefly describe the program’s academic skills component.
Description of academic support component
Please briefly describe the program’s academic support component.
Description of application guidance/support component
Please briefly describe the program’s application guidance/support component.
Description of conditional admission component
Please briefly describe the program’s conditional admission component.
Description of career exploration component
Please briefly describe the program’s career exploration component.
Description of mentoring component
Please briefly describe the program’s mentoring component.
Description of networking component
Please briefly describe the program’s networking component.
Description of skills development component
Please briefly describe the program’s skills development component.
Description of research component
Please briefly describe the program’s research component.
Description of other components
Please briefly describe the program’s other components.
Please briefly describe the findings of any evaluations that have been performed of this program, or link to any reports available for sharing.
Application and Requirements
Racial or ethnic group membership
What types of eligibility criteria or priorities does the program have for participants?
Academic criteria or priorities
Brief description of eligibility criteria and/or priorities relating to academics (e.g. required prior coursework or major, minimum GPA).
Racial/ethnic criteria or priorities
Brief description of eligibility criteria and/or priorities relating to racial or ethnic group membership.
Socio-economic criteria or priorities
Brief description of eligibility criteria and/or priorities relating to socio-economic background.
Other criteria or priorities
Brief description of other eligibility criteria and/or priorities.
What are the required components for applications to the program (e.g., statement of purpose, transcript, letters of recommendation/references)?
Are there any participant costs, like tuition or other fees?
Description of participant costs
Brief description of participant costs.
Do participants receive financial assistance (e.g. stipend) or other support (e.g. housing, scholarship)?
Description of financial assistance
Brief description of financial or other support for participants.
FTE paid program staff
Number of full-time-equivalent paid program staff
Approximate annual budget
Approximate annual program budget (excluding in-kind donations).
Sources of funding
Program’s host organization (e.g. university)
Other (please describe):
Please list any recent sources of funding for this program.
(Other) Please describe
Grants funding organizations
Please list name(s) of funding organizations
Please describe program revenue
Does this program receive any in-kind resources that support its operation (e.g., donated office space, volunteers, tuition waivers for participants)?
Description of in-kind resources
Please briefly describe in-kind support received by the program.
Program contact person
Name and title of program contact person
Phone number of program contact
Please provide the name of the person submitting this form in case we have any questions. (Will not be shared publicly)
Your email address
Please provide your email address in case we have any questions. (Will not be shared publicly)
Please share any additional information about the program or other comments.
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