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Kelley School of Business Partnership Programs
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Application
Application
Step 1 of 3
33%
Name
*
First
Last
Email
*
Phone
Which Program are you associated with?
Evans Fellowship
Physician Leadership in Business Acumen
Business of Medicine Leadership
What is your current rank?
Select
Assistant
Associate
Full
What clinical operations role do you currently hold?
*
Are you in the Department of Medicine?
*
Yes
No
I understand that my department is responsible for pay for 50% of the cost of this program, up to $1,000 and that these funds must be university funds or CME dollars allocated to me (I cannot use personal funds)
*
Name and e-mail of my business manager or person who will transfer the funds
*
Division Chief Approval and Nomination
*
Contact your division or Section Chief. Their approval is required and a short nomination.
Personal Statement
*
Curriculum Vita
*
Letter of Recommendation 1
Immediate supervisor
Name of Contact
*
First
Last
Email of Contact
*
Letter of Rec 1 URL
Letter of Recommendation 2
Name of Contact
*
First
Last
Email of Contact
*
Letter of Rec 2 URL
Letter of Recommendation 3
Name of Contact
*
First
Last
Email of Contact
*
Letter of Rec 3 URL
Application Packet (all docs merged)
Shawn Wilson
Director of Faculty Development
patricks@iu.edu
HITS 2107
Official Bio
Admin Support Email:
Kenya Alexander
Admin Support Phone: (317) 278-3089
Kelley School of Business Partnership Programs
Evans Fellowship in Health Care Leadership
Business of Medicine Leadership Program
Physician Leadership in Business Acumen
Application