In developing your application, we encourage you to contact Phuong Huynh (huynhpt@pi.cpmc.columbia.edu or 212-543-6213) to ask questions or discuss ideas.

Part I:  Applicant Information

Please provide the following information:

• Name
• Degree(s)
• Discipline/Professional Field
• Present Position
• Institution/Organization
• Work Address
• Home Address
• Telephone Number
• Fax Number
• Email Address
• Choice of Fellowship Track
  • Residential Only
  • Non-Residential Only
  • Either Residential or Non-Residential
  • Note: If applying for either the residential or non-residential track, please indicate a preference for one track over the other, and complete questions #1-3 in Part IIA: Essays – Residential Track Applicants AND questions #3-5 in Part IIB: Essays - Non-Residential Track Applicants

• Where/How You Learned About the Program

Part II: Essays

If applying for either the residential or non-residential track, please indicate a preference for one track over the other, and complete questions #1-3 in Part IIA: Essays – Residential Track Applicants AND questions #3-5 in Part IIB: Essays - Non-Residential Track Applicants

Part IIA: Essays – Residential Track Applicants

Brief essays on the following topics: 

1. The reasons you want to be a Policy Fellow in Health and Aging, including your strengths and qualifications for the program, your preference (if any) for a particular type of policy setting placement (e.g., Congress, executive agencies, policy organizations), the specific objectives you hope to achieve from this experience and how they relate to your professional goals. (Limit response to 3 pages with 1-inch margins, 1.5 spaced, Times New Roman 12 point font.)
   
   
2. A description of your experiences and/or contributions in the health and aging field, either in your professional work or through community or volunteer service, and how they will contribute to your fellowship experience. (Limit response to 2 pages with 1-inch margins, 1.5 spaced, Times New Roman 12 point font.)
   
   
3. Plans for continued development of your health policy leadership skills after you complete the fellowship. Explain how you will contribute to the development of health policy at the national, state or local levels, at your home institution or elsewhere, and how you envision the fellowship experience affecting your overall career goals and direction. (Limit response to 2 pages with 1-inch margins, 1.5 spaced, Times New Roman 12 point font.)

(Once selected, the NPO will work with each fellow to identify appropriate projects, placements, and mentors. 

Part IIB: Essays – Non-Residential Track Applicants

Brief essays on the following topics:

1. The reasons you want to be a Policy Fellow in Health and Aging, including your strengths and qualifications for the program, the specific objectives you hope to achieve from this experience, and how they relate to your professional goals. (Limit response to 3 pages with 1-inch margins, 1.5 spaced, Times New Roman 12 point font.)
   
   
2. A description of your experiences and/or contributions in the health and aging field, either in your professional work or through community or volunteer service, and how they will contribute to your fellowship experience. (Limit response to 2 pages with 1-inch margins, 1.5 spaced, Times New Roman 12 point font.)
   
   
3. Please describe the project you would like to complete during the fellowship term, including:
   1. The topic on which you would like to work (e.g., quality of nursing home care and options for long-term care financing, Medicare Part D implementation), with details on why this topic is important, the specific objectives you wish to achieve and/or question(s) you hope to answer, what information/data you need access to, work plan and timeline for finishing the project, and how you plan for the results of your project to influence policy
   2. Organization(s) and/or individuals with which it would be the most appropriate to work on this project
   3. Length of time/frequency and plan for short placement periods away from your current job
   4. Any other factors you think should be considered in your application
      (Limit response to 5 pages with 1-inch margins, 1.5 spaced, Times New Roman 12 point font.)
      
      
4.  Provide a line-item budget and narrative. Suggested budget categories might include:
   1. Partial "buy out" of effort for the applicant
   2. Travel to project-related meetings (e.g., trip to meet with officials at the American Health Care Association, trip to CMS to meet with officials regarding Medicare Part D data, trip to attend a conference at the Engelberg Center for Health Care Reform, meet with colleagues and mentors at The Brookings Institution, The American Enterprise Institute or AARP)
   3. Non-capital equipment and supplies or expenses directly related to successfully completing the project (e.g., long distance calls, postage)

(Once selected, the NPO will work with each fellow to identify appropriate projects, placements, and mentors.)

Part III: Supporting Documents

Please include:

1. Curriculum vitae
   
   
2. A one-page biographical sketch
   
   
3. The name and contact information for one institutional reference (e.g., department chair, supervisor, faculty mentor, agency or department director, etc.) whom you have asked to write a reference letter for you. The letter should:
   1. Address the selection criteria and your qualifications for the program
   2. Confirm the institution’s support of your participation in the program
   3. Describe the reference’s willingness to serve as your advisor by assisting with your growth as a health policy leader, if selected
   4. Describe any financial or in-kind resources the institution will make available to assist you during the fellowship placement (for residential track applicants) or to implement the proposed project (for non-residential track applicants).
      
      
4. The names and contact information for two professional references whom you have asked to write letters for you.  The letters should address the selection criteria and your qualifications for the program.

All reference letters should be sent directly to the NPO and received by the application due date of May 27, 2008.

Please email your completed application, CV and bio, and have reference letters sent to:

Phuong Trang Huynh, PhD
Deputy Director, Health and Aging Policy Fellows
Department of Psychiatry, Columbia University
1051 Riverside Drive, Unit 9
New York, NY 10032
healthandagingpolicy@columbia.edu

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