Mentoring Program Application Form

Mentoring Program Application Form

This is ideal for companies who provides experienced professional (mentors) services. Assigned the right professionals to the mentees who will help build their skills and knowledge and help plan their careers using this application form. Form Preview
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  • Communication Skills Mentoring Program Application Form
  • This application form is estimated to require 10 minutes to complete. **All fields are required. Please enter N/A if "Not Applicable."
     
    An administrative/licensing program fee of $500 is payable to the Institute for Healthcare Communication (IHC).  Additionally, please note that due to changes in underwriting, grants no longer cover travel costs.  We therefore request a nominal fee not to exceed $500 for the facilitator(s) travel expenses, plus $10 per participant for the course workbook.    
     
  • Part I: Host Organization/Institution Information
  • Part II: Communication Skills Training
  • Part III: Workshop Scheduling Information
  • Part IV: Additional Information
  • Should be Empty: