PRITE Fellowship Nomination Form

Fellowship type

Please choose which fellowship you wish to make a nomination for. Nominees for the PRITE Fellowships who intend to specialize in child psychiatry can mark "PRITE w/Child PRITE" to also be considered for the Child PRITE Fellowship.

PRITE Fellowship
Child PRITE Fellowship
PRITE w/CHILD PRITE Consideration
Nominee Institution

Nominee Residence

Required documents
PDFs only

Please remove all identifying information (questions are scored blindly)

Download document to be signed by Nominee

Only if Adult Psychiatry Program Director wishes to nominate a current PGY 3 resident for CHILD PRITE (should include a brief statement of support from the Child Fellowship Director).

NOTE: Each separately accredited sponsoring institution may submit only one nomination.

NOTE: Candidates may be nominated for either the PRITE or Laughlin Fellowship, not both in the same year. Those selected as a PRITE or Laughlin Fellow may not apply for the other fellowship in future years.

DEADLINE: Applications due by: May 15th of each calendar year