Thank you for your interest in becoming a Community Health Fellow for the
National 3 vs 3 Pledge Initiative

We are excited that you are considering joining a growing network of future healthcare leaders committed to improving the health of their communities through education, prevention, and service.

This application should take approximately 5–10 minutes to complete.

Please answer each question thoughtfully and honestly. There are no perfect answers. We simply want to learn more about you, your interests, and your passion for serving others.

Organization/Group Name *

First Name *

Last Name *

Phone *

Email *

City *

State *

Professional Program *

Medical Student

Graduate Student

Resident

Other

Area of Interest/Specialty *

Why are you interested in becoming a 3 vs 3 Community Health Fellow? *

What excites you most about community health? *

What skills could you bring to the 3 vs 3 Pledge Initiative (check all that apply) *

Public Speaking

Event planning and/or Fundraising

Social Media and/or Graphic Design

Photography and/or Videography

Community Outreach and/or Volunteer Coordination

Research and/or Data Collection

Describe your most meaningful leadership or volunteer experience. *

Have you organized community events before? (not req'd for acceptance) *

As a Community Health Fellow...(must agree with all to be considered)

I understand this is currently a volunteer leadership program.

I agree to represent 3 vs 3 professionally.

I agree to use approved educational materials.

I agree to report participation data honestly.

I understand participant privacy must always be protected.

I agree to complete the required Fellow training before hosting events.