2024 Healthcare Ethics Leadership Academy Application

2024 HELA Statement of Interest

The Healthcare Ethics Consortium (HEC) and the Emory University Center for Ethics are pleased to announce the 2024 Healthcare Ethics Leadership Academy (HELA).
Thank you for your interest in joining the 2024 HELA Cohort. Please complete the application below by Monday, July 8. We will send admission decisions to the email address on this form by Monday, July 22.

2024 - 2025 HELA Tuition is $7,500 for non-HEC Partners and $6,000 for HEC Partners. If you are accepted into the program, a $1,000 deposit is required by Monday, August 5. The remainer is due via check or journal entry by the start of the Fall Bioethics course in mid August.

For more information or questions, please contact Mary Rachel Henderson, HEC Program Coordinator via email: maryrachel.henderson@emory.edu or office phone: (404) 727-2698.
Name

First NameMiddle NameLast Name
Preferred Name
Pronouns
Degrees (MA, MD, PhD, etc.)
Title
Occupation
Employer
Is your organization a partner of the HEC?

YesNoUnsure
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Mobile Number
Work Number
Previous Bioethics Training (if applicable)
Degree in Bioethics (if applicable)
Institution and Degree
Ethics Committee Member

YesNo
Courses in Bioethics

HEC WorkshopHEC Annual ConferenceOther
If you've taken Bioethics courses, please list them below.
Participants will receive approximately 40 hours of classroom teaching throughout the program. In-person participation is planned; virtual is available.
Please list any needs for special accommodations.
How did you learn about HELA?

ColleagueEmailHEC WebsiteOther
If Other, please elaborate below.
We require two (2) documents to complete your application for the Healthcare Ethics Leadership Academy.

1. Statement of Interest (maximum of 500 words)

2. Letter of Support

In 500 words or less, please explain your interest in bioethics and goals for participation in the program.

Please paste your answer in the text box below or you can upload a PDF of your statement.
Statement of Interest (500 word maximum)
If you did not paste your statement above, please upload a PDF.

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We encourage applicants to discuss participation with institutional leaders.

A letter of support for participation from leadership is required as a part of your submission.
Upload your Letter of Support

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If you did not upload a Letter of Support, please email it to hec@emory.edu as soon as possible. Your application will not be considered complete for review until it is received.
By clicking the boxes below, I certify that the information provided is complete and accurate.

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2024 HELA Statement of Interest