Faculty Mentor Online Application

Faculty Mentor candidates must:

  • Be a Program Director or core residency program faculty
  • Have a chief resident who has applied to the 2016 Immersion Training program
  • Be able to assist with the development and implementation of the Chief Resident Substance Use Teaching Project
  • Be able to attend the entire training
  • Complete the Faculty Mentor Application

16th Annual Immersion Training Program: FACULTY MENTOR Application

Application materials are no longer being accepted for the 2017 cycle. Please check back in summer/fall of 2017 for information on the 2018 program. Your incoming Chief Resident must be accepted into the program in order for you to attend. With limited faculty spots, selection of faculty attendees is based upon your statement and faculty position.

To complete the application process, we require: 1) a CV and 2) a statement of support around the Chief Resident you are applying with, (300 words or less) which incorporates a) how attending the program with your Chief Resident will enhance his/her ability to implement addiction medicine curriculum including completion of a Substance Use Teaching Project; developed at the training program and b) how your current faculty position will enable you to add addiction medicine content into the residency program curriculum. Note: This statement will serve as the letter of support for your Chief Resident’s application.

The Immersion Training Program is funded by a grant from the National Institute on Drug Abuse (NIDA). You will be asked to complete several surveys, which we will send to you. Your survey will not be available to program applicant reviewers and will not influence whether or not you are accepted. Your application will not be considered complete until you have returned the pre-course survey.

  • Residency Program Address

  • Write N/A if there is none.
  • Write N/A if there is none.
  • Mailing Address

  • Other Information

  • Accepted file types: pdf, doc, docx.
  • Accepted file types: doc, pdf, docx.