Please follow the steps below to complete the Preparing Early Intervention Providers for the Opioid Epidemic (PEPOpE) Program Application.
First: read the information and overview on the PEPOpE Program page
Once you begin each section of the application, you will not be able to save and resume. Be sure to have all proper materials before beginning each section of the application process. You may preview the application to see what you will need and to download the Word files you can complete offline to submit with their respective forms.
You will find the application below in a series of steps. Please complete each step before proceeding to the next. After each form has been completed you will see a page with a message that the form was successfully submitted ("completed form") or that there was an error. Errors tend to be caused by a missing field, so check for anything you might have missed. By design, the form takes a variety of formats - phone numbers, capitalization, so errors are usually the result of missing items. To resolve them, search your form for any blank fields and fill them in and then resubmit. If you cannot resolve your errors, email _______________________________
Application opens February 1st, and closes February 28th.*
*Social work Advanced Standing applicants who did not apply for early decision should contact Professor Xan Boone regarding application dates
Please complete the Demographic Information form below and proceed to the "Questionnaire and Documents" tab to continue with the application
For part 2 of the application you will need to upload the following documents to the form shown below (as they are all required for the program application)
- Current Resume/CV
- Unofficial Transcripts
- PEPOpE Questionnaire
- Please download and complete the the "PEPOpE Questionnaire" word document below and submit it in the "Questionnaire" upload section on the bottom of the form below
- PEPOpE Questionnaire (DOC)
Once you have completed part 2, please proceed to "Reference and Recommendations" tab to continue with the application
If you are the applicant: please send the web address to your references to submit a recommendation letter on your behalf.
- Recommendation letter - faculty member in the program (cannot be a PEPOpE Program Director)
- Recommendation letter - other source (e.g. employer, clinical supervisor, volunteer supervisor)
If you are providing a reference: Please submit your "Recommendation letter" below.