Fellowship Application Please select a fellowship: * ...22 National Cancer Reporting Fellowship22 AHCJ-CDC Health Journalism Fellowship22 Reporting Fellowship on Health Care PerformanceNLM Health Journalism FellowshipFellowship on Women’s Health21 Fellowship on Comparative Effectiveness ResearchInternational Health Study FellowshipNew York Health Journalism Fellowship (statewide)Colorado Health Journalism FellowshipAHCJ Freelance Travel ScholarshipCalifornia Health Journalism FellowshipMissouri Health Journalism FellowshipEthnic Media Health Journalism FellowshipRural Health Journalism FellowshipAcademic Health Journalism FellowshipRhode Island Health Journalism FellowshipVirtual National Cancer Reporting Fellowship21 National Science-Health-Environment Reporting Fellowship22 National Science-Health-Environment Reporting Fellowship2022-23 National Science-Health-Environment Reporting Fellowship First name — Middle initial — Last name * Middle name Last name * Please enter names separately. Professional title or role * Affiliation / Employer * Email address * Twitter name (optional — one name only, please) Primary medium * ...NewspaperTelevisionOnlineMagazineRadioNewsletterBooksAcademicWire Service If mixed, check here and also select your primary outlet medium. Journalism experience * 1 year or less 2-5 years 6-10 years 11-15 years 16+ years Mailing address * City * State / Province / Region * Postal code * Country County of affiliation or residence * ...AlleganyCattaraugusCayugaChautauquaCortlandErieGeneseeHerkimerMadisonNiagaraOneidaOnondagaOrleansOswegoTompkinsWyoming County of affiliation or residence (statewide) * ...AlbanyAlleganyBronxBroomeCattaraugusCayugaChautauquaChemungChenangoClintonColumbiaCortlandDelawareDutchessErieEssexFranklinFultonGeneseeGreeneHamiltonHerkimerJeffersonKingsLewisLivingstonMadisonMonroeMontgomeryNassauNew York CityNiagaraOneidaOnondagaOntarioOrangeOrleansOswegoOtsegoPutnamQueensRensselaerRichmondRocklandSt. LawrenceSaratogaSchenectadySchoharieSchuylerSenecaSteubenSuffolkSullivanTiogaTompkinsUlsterWarrenWashingtonWayneWestchesterWyomingYates Cell phone * Work phone (optional) Are you or have you previously been a member of AHCJ? Yes No If yes, please provide the name on your membership: Are you currently a member of any of these journalism organizations? Asian American Journalists Association Association of Health Care Journalists Investigative Reporters and Editors National Association of Black Journalists National Association of Hispanic Journalists National Association of Science Writers Native American Journalists Association Online News Association Society of American Business Editors and Writers Society of Environmental Journalists Society of Professional Journalists Other If other, please specify: Gender Race / ethnicity ...African American/BlackAmerican Indian/Alaska NativeAsianHispanic/LatinoPacific IslanderWhiteMultiracial/MixedOther Help us in our efforts to seek a diverse applicant pool by sharing how you identify racially/ethnically. Citizenship * I am a U.S. citizen. I am not a U.S. citizen. Fellows visiting certain federal government properties will need to provide proof of citizenship. Date of birth Place of birth 1. Please attach a brief cover letter (PDF only) telling us about yourself, your understanding of the fellowship and why you are applying for this fellowship (PDF, max. 5 MB). * As an applicant for a fellowship focused on developing journalism’s future leaders, you are invited to describe your professional goals and what you hope to contribute as a journalist. 2. Please attach a current resume (PDF, max. 5 MB). * 3. Please attach a letter of recommendation from a current supervisor (PDF, max. 5 MB). * This letter should comment on your strengths and the likelihood that you and your employer will benefit from the fellowship. The letter should pledge the organization will support the applicant attending training sessions. Freelance applicants should include a recommendation from an assigning editor or client. 4. Please provide two stories you published or aired during the 12 months preceding the application deadline. If no URL is available, you may attach a PDF or MP3 — max. 25 MB. We strongly encourage video broadcasters to upload their material to a service such as YouTube for review if it is not already available online. Note that YouTube allows “unlisted” posting. 5. Please attach a detailed project proposal (two to three pages) outlining the stories you want to pursue; potential sources; potential sites you want to visit through field reporting; what you could illustrate or illuminate for your readers, viewers or listeners; and what elements you envision in your final presentation (PDF, max. 5 MB). * Person ID Please enable JavaScript in your web browser and try again.