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California APIC Coordinating Council 2024 Educational Award Application
Term of awards:
The term for these awards can be used for retroactive reimbursement for expenses made from January 1, 2024 and to December 31, 2024.
Application Deadlines:
1x "Marguerite M. Jackson Scholarship" - Advanced/Expert Stage ($1000.00)
May 13, 2024
1x Early career/novice to Advanced/Expert Stage ($1000.00)
May 13, 2024
4x Early career/novice to Advanced/Expert Stage ($500.00)
May 13, 2024
Scholarship Rules:
https://community.apic.org/cacc/resources/educational-award-application
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Credentials
*
Your answer
Which award are you applying for?
*
"Marguerite M. Jackson Scholarship" - Advanced/Expert Stage ($1000.00)
Early career/novice to Advanced/Expert Stage ($1000.00)
Early career/novice to Advanced/Expert Stage ($500.00)
APIC Membership Number (If not currently an APIC member, please consider joining by going here:
https://apic.org/Member-Services/Join
)
*
Your answer
I am a chapter member of
*
Choose
San Francisco Bay Area
Sierra
San Joaquin
Greater Los Angeles
Tri-Valley
Coastline
Inland Empire
Kern Rivers County
Orange County
San Diego & Imperial County
I am not a member of any chapter
Organization/Employer
*
Your answer
Healthcare Setting Types (Organization Oversight)
*
select all that apply
Acute Care Hospital
Long-term Care/Adult and Senior Care Facility
Rehabilitation Facility
Ambulatory Surgery Center
Psychiatric Facility
Dialysis Facility
Correctional/Detention Facility
Homeless/Emergency Shelters
Other Outpatient Clinic
Required
Regional Area of Service
*
Urban - high population density
Rural - low population density
What is your current IP experience level? (see
https://drive.google.com/open?id=1AglC_0YSaIsZBNpxp2kyqd44F4kL882S
)
*
Advanced/Expert
Mid-career/proficient
Early career/novice
Write a brief description of three things you have accomplished at the current career stage
*
Your answer
Identify three areas in which further education or skills development is needed
*
Your answer
Write a brief description of how the award will be used and how this will be integrated into your plans for competency development
*
Your answer
A copy of your responses will be emailed to the address you provided.
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