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Application
Fellowship in
Advanced Practice Leadership
About
Application
Fee
APP Leadership Fellows
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Application
Fellowship in
Advanced Practice Leadership
About
Application
Fee
APP Leadership Fellows
Fellowship FAQs
Back To Homepage
Application
Name
*
First
Last
Title
*
Organization
*
Role
*
-- Select --
Clinical Nurse Specialist (CNS)
Nurse Anesthetist (CRNA)
Nurse Midwife (CNM)
Nurse Practitioner (NP)
Physician Assistant (PA)
Years of Experience (in advanced practice leadership)
*
-- Select --
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
20+
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
*
Drop File Here or
Accepted file types: txt, rtf, doc, docx, ppt, pptx, pdf, jpg, gif, png.
Letter of Recommendation - Administrator #2
*
Drop File Here or
Accepted file types: txt, rtf, doc, docx, ppt, pptx, pdf, jpg, gif, png.
Curriculum Vitae (CV)
*
Drop File Here or
Accepted file types: txt, rtf, doc, docx, ppt, pptx, pdf, jpg, gif, png.
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