Application

Name*
First Last
Title*
Organization*
Role*
Years of Experience (in advanced practice leadership)*
Questions
Q1: Describe your current role and responsibilities, in detail.*
Q2: Why are you interested in becoming an APP leadership fellow?*
Q3: What are your strengths in advanced practice administration/management?*
Q4: In what areas of advanced practice administration/management are you seeking additional training?*
Q5: What advanced practice-related project(s) might you focus on for your performance improvement project?*
Letter of Recommendation - Administrator #1*
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Letter of Recommendation - Administrator #2*
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Curriculum Vitae (CV)*
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Email
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