Bridging Leaders Program
Thank you for your interest in this program. This form is the application submission portal for the Bridging Leaders Program.
Application Form
Contact Name
*
First Name
Last Name
Phone Number
Email
*
example@example.com
Address - Required to receive your program materials
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Health Professions Discipline
*
Child Life Specialist
Clinical Educator
Midwife
Nurse
Occupational Therapist
Nurse Practitioner
Physician
Physician Assistant
Speech Language Pathologist
Researcher/Scientist
Leader/Manager/Admin (Clinical)
Leader/Manager/Admin (Academic)
Staff Admin
Other
Which cohort are you applying to?
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Fall 2023
Winter-Spring 2024
Pre-application
Other
If you are applying to the FALL cohort, please confirm that you will be able to make the required number of sessions/dates.
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Session 1: Zoom Based – Friday, November 10, 2023, 1-5pm EST
Session 2: In-Person – Sat., Nov. 11, 9a-1:30p EST
Session 3: Zoom Based – Friday, Dec. 8, 2023, 1-5pm EST
Session 4: In-Person – Sat., Dec. 9, 9a-1:30p EST
Session 5: In-Person – Fri., Jan. 19, 2024, 2-6p EST
Are you presently in a leadership position? If so, please explain your leadership context. This does not need to be a formal academic or clinical role. It may be a volunteer or community-based role too.
*
~200 words
If you have held a leadership role(s) previously, please (i) identify the role(s) you have held and (ii) share what qualities you believe allowed you to be successful in the role(s).
*
Please only identify two leadership positions
What are your personal growth goals? What do you hope to get out of the program to advance your goals?
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200 words max
YOUR LEADERSHIP PROJECT - For successful completion of the BLP, you must be actively planning or leading a project (e.g. solving a problem or conquering a challenge) within your local context. Describe the project/challenge that you would like to work on throughout the program.
*
Is there anything else you would like us to know about you?
Please attach your CV or resume. *
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Please indicate your fee level:
$1800 CAD + HST for trainees/fellows
$3500 CAD + HST for internal McMaster Faculty or Staff
$5500 CAD + HST for External Faculty or Professionals
I am being sponsored by an internal McMaster department or school - additional info needed see below.
For those who are being sponsored by an internal McMaster department or school. Please provide your head of school/department's name and email address to confirm details and payment before course enrollment.
I consent to being contacted by the McMaster University Faculty of Health Sciences Program for Faculty Development and/or Office of CPD about my application status and all other programming offered by these groups.
*
Yes, I consent
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