THEF 2019 Mentorship Application

General Information

All Mentor and Mentee applicants complete this section.

  Yes
  No
  Member
  Fellow (FACHE)
  Student Associate
  Mentor
  Mentee
  Both Mentor and Mentee
  <5 years
  6-10 years
  10-15 years
  15+ years
  Senior Executive (VP, C-Suite)
  Mid-Careerist (established professional looking to transition to the next level, i.e. Director)
  Early Careerist (under 40, typically graduated from a Master's program within the last 5 years)
  Graduate Student (will graduate within one year)
  Alternative Care
  Long Term Care
  Ambulatory care
  Managed Care
  Behavorial Care
  Logistics
  Business Development
  Mergers/Acquisitions
  Corporate Compliance
  Operations
  Finance
  Information Systems
  Physician Practice
  Quality Assurance
  Strategic Planning
  Consulting
  Organizational Leadership
  Process Improvement
  Patient Safety


 

Mentor Applicants

If you are applying to be a Mentor, please address the questions below.

  1
  2
  3
  Senior Executive
  Mid-Careerist
  Early Careerist
  Graduate Student
  My organization
  Another organization
  A 6 month Mentorship Program that requires availability April - September, 2019
  16 contact hours, 12 of which must be face-to-face
  Participate in orientation on March 28, 2019
  Participate in a closing banquet on October 16, 2019


 

Mentee Applicants

If you are applying to be a Mentee, please address the questions below.

  Yes
  No
  A mentor to help me with advancing to FACHE would be helpful, but not essential
  My organization
  Another organization
  A 6 month Mentorship Program that requires availability April - September, 2019
  16 contact hours, 12 of which must be face-to-face
  Submit of a monthly log of completed hours
  Submit a 2-5 page summary of experience at the end of the program
  Participate in orientation on March 28, 2019
  Participate in a closing banquet on October 16, 2019


 

Additional Information


 

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