Alda Medical Experience™ Immersion
We are now accepting applications for our two-day Alda Medical Experience Immersion 2020 events. We welcome physicians, nurses, health care administrators, and other health care professionals. If accepted, participation is required for the entire two-day experience.  

Base tuition — $2,500
With tax & service fee — $2,897.34

Visit aldacenter.org/medical for more information.

Sign in to Google to save your progress. Learn more
Name *
E-mail *
Institution *
Which program dates are you applying for? *
Required
Do you have any restrictions (e.g. dietary, physical) that we should be aware of?
1. Please provide your management title(s): *
2. How did you learn of this program? *
3. Describe your health care organization:
Its purpose; its services and patients; several measures of its size (e.g., annual budget, revenues, expenditures, # employees, patients or beds); medical school affiliation (if any)
4. Please describe your role in the health care organization, including current responsibilities in each of these areas: Academic, Research, Clinical, Other
5. List the top three management challenges you are facing:
 (limit response to 350 characters including spaces)
6. Provide the number and type of individuals or groups you supervise as well as the number of patients (e.g., beds, practices, etc.) in your service:
7. Name, title/position of individual(s) to whom you report:
8. Names of principal committees on which you sit:
Please provide a brief biography (100 words). This information will be available to your instructors and fellow participants on the day of the workshop.
9. Program fee will be paid by (Name, Email, Institution):
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Stony Brook University. Report Abuse
Google Forms