{"id":3320,"date":"2022-11-15T15:28:48","date_gmt":"2022-11-15T09:58:48","guid":{"rendered":"https:\/\/nimh.health.gov.lk\/?page_id=3320"},"modified":"2022-11-16T09:23:34","modified_gmt":"2022-11-16T03:53:34","slug":"nimh-observership-application-form","status":"publish","type":"page","link":"https:\/\/nimh.health.gov.lk\/ta\/training-research\/nimh-observership-application-form\/","title":{"rendered":"NIMH Observership Application Form"},"content":{"rendered":"<p>Before filling the form below note the following below:<\/p>\n<ol>\n<li>NIMH will only provide observership to UGC approved institutes.<\/li>\n<li>We will select only 20 students per month.<\/li>\n<li>The cut off date every month for applications is the 15th.\u00a0<b>Applications received on or after 15th will be processed the next month<\/b>.<\/li>\n<li>Diploma\/Degree students will be provided only an observership.<\/li>\n<li>We provide internship only for M.Phil students. Please email us info[at]nimh.health.gov.lk.<\/li>\n<\/ol>\n<p><\/p>\n<div>After filling this form please give us 5 working days for a response. You will be notified via WhatsApp about the interview date with the relevant instructions. Please ensure the following documents are ready at the interview.<\/div>\n<div><\/div>\n<div>\n<ol>\n<li>Curriculum Vitae.<\/li>\n<li>Personal Request addressed to Director, National Institute of Mental Health.<\/li>\n<li>Request from the institute addressed\u00a0to Director, National Institute of Mental Health stating that you require an observership. The letter should also mention that the institute and the course are approved by the UGC.<\/li>\n<\/ol>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f3318-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/ta\/wp-json\/wp\/v2\/pages\/3320#wpcf7-f3318-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"3318\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3318-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:3318,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-5.6.1&quot;:true}}\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><b>Personal Information<b><\/p>\n<p><label> First Name<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-name1\"><input type=\"text\" name=\"stu-name1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Last Name<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-name2\"><input type=\"text\" name=\"stu-name2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Current Address<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-addrs\"><input type=\"text\" name=\"stu-addrs\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> City<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-citys\"><input type=\"text\" name=\"stu-citys\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> WhatsApp Number<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-whapp\"><input type=\"number\" name=\"stu-whapp\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E.g. +94777123456\" \/><\/span> <\/label><\/p>\n<p><label> Email Address<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-emails\"><input type=\"email\" name=\"stu-emails\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><b>Academic Information<b><\/p>\n<p><label> Institute Name<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-insnm\"><input type=\"text\" name=\"stu-insnm\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> No of hours needed<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-noofh\"><input type=\"number\" name=\"stu-noofh\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Institute Type<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-typin\"><select name=\"stu-typin\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Private\">Private<\/option><option value=\"Government\">Government<\/option><\/select><\/span> <\/label><\/p>\n<p><label> Is your institute UGC approved (If your institute is Private and UGC approved you maybe asked to provide evidence. NIMH will only provide observership to UGC approved institutes)<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-ugcap\"><select name=\"stu-ugcap\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span> <\/label><\/p>\n<p><label> Degree or Diploma awarded or working toward<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-degdp\"><input type=\"text\" name=\"stu-degdp\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Date of commencement of the observership<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-dates\"><input type=\"date\" name=\"stu-dates\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"The approximate date you are expecting to start your observership\" \/><\/span> <\/label><\/p>\n<p><label> Will you be available for:<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-avalb\"><select name=\"stu-avalb\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Full time (Monday to Friday 8am to 4pm, Saturday 8am to 12pm)\">Full time (Monday to Friday 8am to 4pm, Saturday 8am to 12pm)<\/option><option value=\"Part time (Preferred 3 work days)\">Part time (Preferred 3 work days)<\/option><\/select><\/span> <\/label><\/p>\n<p><b>Reference 1<b><\/p>\n<p><label> Name<br \/>\n    <span class=\"wpcf7-form-control-wrap rf1-name1\"><input type=\"text\" name=\"rf1-name1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Phone Number<br \/>\n    <span class=\"wpcf7-form-control-wrap rf1-whapp\"><input type=\"number\" name=\"rf1-whapp\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E.g. +94777123456\" \/><\/span> <\/label><\/p>\n<p><label> Email Address<br \/>\n    <span class=\"wpcf7-form-control-wrap rf1-emails\"><input type=\"email\" name=\"rf1-emails\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Current Address<br \/>\n    <span class=\"wpcf7-form-control-wrap rf1-addrs\"><input type=\"text\" name=\"rf1-addrs\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> City<br \/>\n    <span class=\"wpcf7-form-control-wrap rf1-citys\"><input type=\"text\" name=\"rf1-citys\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Relationship to applicant<br \/>\n    <span class=\"wpcf7-form-control-wrap rf1-relap\"><input type=\"text\" name=\"rf1-relap\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> How long have you known this reference?<br \/>\n    <span class=\"wpcf7-form-control-wrap rf1-howln\"><input type=\"text\" name=\"rf1-howln\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><b>Reference 2<b><\/p>\n<p><label> Name<br \/>\n    <span class=\"wpcf7-form-control-wrap rf2-name1\"><input type=\"text\" name=\"rf2-name1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Phone Number<br \/>\n    <span class=\"wpcf7-form-control-wrap rf2-whapp\"><input type=\"number\" name=\"rf2-whapp\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"E.g. +94777123456\" \/><\/span> <\/label><\/p>\n<p><label> Email Address<br \/>\n    <span class=\"wpcf7-form-control-wrap rf2-emails\"><input type=\"email\" name=\"rf2-emails\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Current Address<br \/>\n    <span class=\"wpcf7-form-control-wrap rf2-addrs\"><input type=\"text\" name=\"rf2-addrs\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> City<br \/>\n    <span class=\"wpcf7-form-control-wrap rf2-citys\"><input type=\"text\" name=\"rf2-citys\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Relationship to applicant<br \/>\n    <span class=\"wpcf7-form-control-wrap rf2-relap\"><input type=\"text\" name=\"rf2-relap\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> How long have you known this reference?<br \/>\n    <span class=\"wpcf7-form-control-wrap rf2-howln\"><input type=\"text\" name=\"rf2-howln\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> <\/label><\/p>\n<p><label> Please tick the box below if you have understood our terms and have filled this form correctly.<br \/>\n    <span class=\"wpcf7-form-control-wrap stu-chkbx\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"stu-chkbx[]\" value=\"I have understood all the terms and conditions and have filled this form completely.\" \/><span class=\"wpcf7-list-item-label\">I have understood all the terms and conditions and have filled this form completely.<\/span><\/label><\/span><\/span><\/span> <\/label><\/p>\n<p><input type=\"submit\" value=\"Submit\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"52\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Before filling the form below note the following below: NIMH will only provide observership to UGC approved institutes. We will select only 20 students per month. The cut off date every month for applications is the 15th.\u00a0Applications received on or after 15th will be processed the next month. Diploma\/Degree students will be provided only an [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":29,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"spay_email":""},"translation":{"provider":"WPGlobus","version":"2.10.2","language":"ta","enabled_languages":["cl","en","si","ta"],"languages":{"cl":{"title":true,"content":true,"excerpt":false},"en":{"title":false,"content":false,"excerpt":false},"si":{"title":false,"content":false,"excerpt":false},"ta":{"title":false,"content":false,"excerpt":false}}},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NIMH Observership Application Form - National Institute of Mental Health, Sri Lanka<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nimh.health.gov.lk\/training-research\/nimh-observership-application-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NIMH Observership Application Form - National Institute of Mental Health, Sri Lanka\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nimh.health.gov.lk\/training-research\/nimh-observership-application-form\/\" \/>\n<meta property=\"og:site_name\" content=\"National Institute of Mental Health, Sri Lanka\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NIMH.Angoda\/\" \/>\n<meta property=\"article:modified_time\" content=\"2022-11-16T03:53:34+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\">\n\t<meta name=\"twitter:data1\" content=\"1 minute\">\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/nimh.health.gov.lk\/#website\",\"url\":\"https:\/\/nimh.health.gov.lk\/\",\"name\":\"National Institute of Mental Health, Sri Lanka\",\"description\":\"The Largest Hospital for Mental Health in Sri Lanka\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":\"https:\/\/nimh.health.gov.lk\/?s={search_term_string}\",\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/nimh.health.gov.lk\/training-research\/nimh-observership-application-form\/#webpage\",\"url\":\"https:\/\/nimh.health.gov.lk\/training-research\/nimh-observership-application-form\/\",\"name\":\"NIMH Observership Application Form - National Institute of Mental Health, Sri Lanka\",\"isPartOf\":{\"@id\":\"https:\/\/nimh.health.gov.lk\/#website\"},\"datePublished\":\"2022-11-15T09:58:48+00:00\",\"dateModified\":\"2022-11-16T03:53:34+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/nimh.health.gov.lk\/training-research\/nimh-observership-application-form\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/nimh.health.gov.lk\/training-research\/nimh-observership-application-form\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/nimh.health.gov.lk\/training-research\/nimh-observership-application-form\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"item\":{\"@type\":\"WebPage\",\"@id\":\"https:\/\/nimh.health.gov.lk\/ta\/\",\"url\":\"https:\/\/nimh.health.gov.lk\/ta\/\",\"name\":\"Home\"}},{\"@type\":\"ListItem\",\"position\":2,\"item\":{\"@type\":\"WebPage\",\"@id\":\"https:\/\/nimh.health.gov.lk\/en\/training-research\/\",\"url\":\"https:\/\/nimh.health.gov.lk\/en\/training-research\/\",\"name\":\"Training &#038; Research\"}},{\"@type\":\"ListItem\",\"position\":3,\"item\":{\"@id\":\"https:\/\/nimh.health.gov.lk\/training-research\/nimh-observership-application-form\/#webpage\"}}]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","_links":{"self":[{"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/pages\/3320"}],"collection":[{"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/comments?post=3320"}],"version-history":[{"count":5,"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/pages\/3320\/revisions"}],"predecessor-version":[{"id":3325,"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/pages\/3320\/revisions\/3325"}],"up":[{"embeddable":true,"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/pages\/29"}],"wp:attachment":[{"href":"https:\/\/nimh.health.gov.lk\/ta\/wp-json\/wp\/v2\/media?parent=3320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}