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HS CLC Scholarship Application Dec 2020

Dear Healthy Start Grantees,

With support from the Division of Healthy Start and Perinatal Services (DHSPS), the Healthy Start TA & Support Center (TASC) is pleased to be able to provide Certified Lactation Counselor (CLC) training scholarships for 40 Healthy Start Grantees. 

Due to the COVID-19 pandemic, the Healthy Children Project's Center for Breastfeeding has transitioned its intensive in-person 5-day CLC training certification course to a self-paced online course. The course takes approximately 52 hours to complete, but participants will have up to 6 months to complete it. For more information about the CLC training, please click here. 

TASC will cover the cost of the online training registration and the textbook for selected applicants. Selected applicants and/or their Healthy Start program will be responsible for covering the cost of the CLC certification exam, which can also be taken online. 

This application will take 20-30 minutes to complete. Please note:
  • Please do not fill out this application on someone else's behalf (including for staff who you plan to onboard soon). The scholarship cannot be transferred.
  • Please only complete this application if you are prepared to and able to complete the CLC training by July 2021. 
  • You must receive approval from your Healthy Start Project Director and your direct supervisor (if different from your PD) before submitting this application.
Please complete this application by COB Friday, 1/8. The Healthy Start TA & Support Center will inform all applicants of their application status via email by the end of January. If you have any questions, please email healthystart@nichq.org. Thank you for your interest in becoming a CLC! 

Be well,
The TA & Support Center 
8. Is your Healthy Start Program a new grantee this grant cycle? *This question is required.
9. Which of the following populations do you provide services to? (check all that apply) *This question is required.
10. Grantee agency type: *This question is required.
11. Are your services primarily: *This question is required.
12. Are you currently, or have you ever been a Certified Lactation Counselor (CLC) or International Board Certified Lactation Consultant (IBCLC)? *This question is required.
What year were you most recently certified?  *This question is required.
13. How is your Healthy Start Program performing in terms of the breastfeeding benchmarks? (Increase the proportion of HS grantees that demonstrate father and/or partner involvement (e.g., increase proportion of Healthy Start child participants whose parent/caregiver reports they were ever breastfed or pumped breast milk to feed their baby to 82%; increase proportion of Healthy Start child participants whose parent/caregiver reports they were breastfed or fed breast milk at 6 months to 61%). *This question is required.
19. Please check the boxes below to indicate your understanding of the following: *This question is required.
Space Cell Yes
I am applying on behalf of myself. I understand that my scholarship cannot be transferred to another staff member.
I understand that this scholarship will cover the cost of the CLC training and textbook, and that my Healthy Start project is responsible for the cost of the CLC exam.
If selected, I acknowledge the expectation to complete the CLC training by July 2021.
This application has been approved by my project director and direct supervisor.
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