The Student Mental Health Fellowship is one of only a few in the U.S. that focuses on training in college and university mental health delivery, the mental health of transitional and young adults, and systems-based practice with stakeholders in a major university. Fellows work at Stanford Hospital and Clinics, as well as the Vaden Student Health Center on campus at Stanford University, with undergraduate and graduate students, in both outpatient psychotherapy/pharmacotherapy and inpatient consults. The fellowship includes administrative and systems aspects of student mental health, outreach efforts to undergraduates on campus, didactics, and a scholarly project. Flexibility exists to customize the curriculum to include the fellow’s particular areas of interest (e.g., eating disorders, mood disorders, first episode psychosis, adult ADHD, addiction, etc.) and to work with special populations (e.g., first generation college students, athletes, people of color, survivors of sexual assault, etc.).