MIMS Programming Interest Form

First Name

Last Name

Permanent Email Address

Please do not use your school email

Phone Number

What school do you currently attend?

If other, please specify.

What is your education level?

If other, please specify.

How did you hear about MIMS?

Please select the program(s) you are interested in.

MADE Program (Mentorship Advances Discovery and Exploration):

3-month program for URM individuals with an interest in behavioral health careers. Applicants must have a high school diploma or GED. Current high school students will not be considered. Participants shadow substance use navigators (SUNS) in clinical and community settings and receive pre-employment and hands-on training.

Mentor Program:

for URM individuals looking to apply to health professional school (or a masters level program with a focus in a health field) in the next 6-12 months. Participants can be current undergraduates or recent college grads, post-baccalaureate students or recent graduates. Current high school students will not be considered. Participants are matched with a health professional mentor for a 6-month period.

Summer Internship Program:

The Summer Internship is a five week immersive program where students have the opportunity to receive hands-on clinical training, shadow health professionals in a variety of patient care settings as well as develop their leadership skills through professional development workshops. Current 10-12th grade students, high school graduates, college/post-bacc students and recent graduates are eligible to apply.

Contact Information