AAMFT HBCU Grant Submission

NOTICE: THERE IS NO SAVE BUTTON FOR THIS SURVEY. PLEASE CLICK HERE TO SEE ALL THE QUESTIONS OF THE SURVEY IN A WORD DOCUMENT FOR YOU TO SAVE YOUR RESPONSES BEFORE ADDING THEM TO THIS SURVEY. YOU CAN EMAIL HBCU@AAMFT.ORG WITH ANY QUESTIONS. THANK YOU!

Section 1: Applicant Information
Collect basic information about the individual submitting the application and the institution they represent. This ensures that we have accurate contact details and institutional context for follow-up and evaluation.

1. Submitter’s Full Name *This question is required.

2. Submitter’s Position/Title *This question is required.

3. Submitter’s Email Address *This question is required.

4. Institution/School Name *This question is required.

5. Institution Address *This question is required.

6. Department or Program Name *This question is required.

7. Contact Email Address *This question is required.

8. Contact Phone Number *This question is required.

9. Are you the primary contact for this submission? *This question is required.

Please enter an 'other' value for this selection. * This question is required.

10. Institutional readiness (e.g., exploring program creation, hiring program director, developing program goals, student learning objectives, etc.) *This question is required.

11. Institutional governance requirements for new programs (e.g., university timelines and approval processes, regional accreditation requirements, state boards of education, faculty senate process) *This question is required.