1. The application requires the following:
   A. A two person team made up of either two from tier I or one from tier I and one from tier II.
       Tier I = Administrator, physician, registered nurse, social worker.
       Tier II = Psychologist, pharmacist, rehabilitation professional, clergy.
   B. Application Form.
   C. Biographical Information. (See registration form. Curriculum vitae or biosketch).
   D. A Statement of Interest in attending the course.
   E. Institutional Goals jointly created by the two-person applicant team.
   F. Two letters of commitment and support from Director of Nursing/Patient Care Services, Chief of Staff/Medical Director, or Institution Administrative Official.
   G. Institutional Survey.
2. Completed applications may be received by regular mail or fax. Incomplete applications will not be considered.
   
   

   Mail:

   Marcia Grant, RN, DNSc, FAAN City of Hope National Medical Center Nursing Research and Education 1500 East Duarte Road Duarte, CA 91010

   FAX: 626/301-8941

   
   
3. Only one application should be submitted per institution.
4. If you have questions or need assistance with the application, please contact Jo Hanson at 626/256-4673 x 63108 or jhanson@coh.org

Apply via US Mail or FAX (626.301.8941)

Download Application Form <register.pdf> in PDF Format(you will need to have Adobe Acrobat Reader installed. Click here to download)
Download Application Form <register.doc> in Microsoft Word Format