Please fill out the form below. Fields marked with an asterisk* are required.
Please note: This is the Michigan version of EASy. If you are applying in another state, please be sure to select that state from the drop-down below.
Please note that MI-AIMH is currently accepting ECMH IMHS & IMHM Endorsement applications ONLY for those who have been previously invited to apply for Phase Two of the implementation process. MI-AIMH will begin accepting ECMH-E applications from all interested applicants soon.
Before completing the remainder of the registration form, please review the following requirements for IFS Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for ECFS Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for IMHS Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for ECMHS Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for IMHM-C Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for ECMHM-C Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for IMHM-P Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for ECMHM-P Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for IMHM-R/F Endorsement and consider whether each of the bullets applies to you:
Before completing the remainder of the registration form, please review the following requirements for ECMHM-R/F Endorsement and consider whether each of the bullets applies to you:
Please use a personal email address (yahoo, gmail, etc.) as many agency email servers block emails from EASy.
Please provide a brief description of your work experience with pregnant women, infants, young children and their families:
You may attach a résumé or curriculum vitae. This is recommended if you have more than 3 relevant paid work experiences.
File should be in .PDF, .DOC, .DOCX or .RTF format
mm/dd/yyyy
You must join or renew membership to MI-AIMH (or another infant mental health association) when submitting this preliminary application.
Extra members will add $0.00 per person
Please review and verify all data before submitting!