Class XV/2017-2018 Application

Thank you for your interest in applying for the MHA Excellence in Governance Fellowship. If you need assistance as you complete this application, please contact Erin Steward at esteward@mha.org or (517) 323-3443.

COMPLETED APPLICATION INFORMATION

A completed application includes:

1. Your answers to sections I - II of  this application
2. A signed letter of support from your hospital chief executive officer

SUBMITTING APPLICATIONS

Completed applications and required materials should be submitted by June 16, 2017. Applications may be submitted using the electronic form below, with additional required materials emailed to esteward@mha.org. Alternatively, the printable application form may be completed and mailed with supporting materials to:

     MHA Excellence in Governance Fellowship
     MHA Health Foundation
     2112 University Park Dr., Okemos, MI 48864

Applications and materials can also be emailed to Erin Steward or faxed to (517) 327-4507.

SECTION I: APPLICANT INFORMATION

Applicant Personal Data

(Please use the email address where you will want all fellowship correspondence to be delivered.)

SECTION II: EXPERIENCE

1. Please submit a current resume or curriculum vitae.
2. Board experience

SECTION III: LETTER OF ORGANIZATIONAL  SUPPORT

You are required to submit a letter of support from the healthcare organization’s chief executive officer indicating organizational support and commitment (time and resources) for your participation in the fellowship program.

The MHA Health Foundation is the nonprofit section of the Michigan Health & Hospital Association, established to support hospitals and their community partners in improving the health of individuals and  communities throughout Michigan.

Copyright ©2001-2017 Michigan Health & Hospital Association and MHA Health Foundation. All rights reserved. No part of this piece or the MHA Excellence in Governance Fellowship program may be used or reproduced in any manner without written permission of the MHA Health Foundation.
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