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 email@example.com 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
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 firstname.lastname@example.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.
Applicant Personal Data
1. Please submit a current resume or curriculum vitae.
2. Board experience
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.
Michigan Health & Hospital Association
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2112 University Park Dr.
Okemos, MI 48864
Phone: (517) 323-3443
Fax: (517) 323-0946
MHA Capitol Advocacy Center
110 W. Michigan Ave.
Lansing, MI 48933
Phone: (517) 703-8601
Fax: (517) 703-0628
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