Government Relations Academy

The 2013 Government Relations Academy is geared toward member hospital professionals whose responsibilities include advocating for their hospital or health system and promoting public policies and building relationships that benefit their organization. Applicants should have 3 years of senior-level experience at a hospital or health system.

Electronic Application Deadline: Friday, January 18, 2013.

Application Instructions and Tips: Please adhere to the word limits where noted. We suggest you complete this survey without interruption. If this survey is inactive for over 180 minutes, it will time-out and all your previous answers will be lost. If you have any questions regarding your submission, please contact Amanda Walsh at awalsh@naph.org or 202.585.0551.

* Name of Hospital/System:

* First Name

* Last Name

* Designation (Mr.,Ms. Dr.,etc)

* Title:

Credential

* Email Address:

* Phone Number:

* CEO Name:

* Confirm CEO approval of this submission:

Submission approved by CEO

* Limit 300 words. Provide a one to two paragraph biography of your work related to a government relations or a government relations-type role.

0/300 words

* Limit of 400 words. Describe what skills and insights you hope to gain from participating in this program.

0/400 words

* Limit of 400 words. How will your institution benefit from your participation in this program?

0/400 words

* Limit of 400 words. Describe the challenges that your organization faces in its advocacy and policy work.

0/400 words

* Indicates Response Required