MCNP Health Policy Fellowship Application

MCNP Health Policy Fellowship Appplication
(Please note you have the option to SAVE your nomination form
and edit/complete prior to submitting.)

Name:

First NameLast Name

Email:

example@example.com

Mobile Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

NP Certification / Population Focus:

Employer/Organization:

Title:

Professional Credentials:

Primary clinical specialty or practice area:

How many years have you practiced as a nurse practitioner?

Are you currently a member of the Massachusetts Coalition of Nurse Practitioners (MCNP)?

Are you able to commit to the full two-year MCNP Advocacy and Health Policy Fellowship beginning in November 2026?

Are you able to commit approximately 200 hours over two years, including approximately 50 hours of live learning and legislative engagement?

What interests you about health policy and advocacy, and why are you interested in this fellowship at this point in your career?

Identify one health policy issue affecting nurse practitioners, patients, or communities in Massachusetts that you would like to better understand or influence. Why does this issue matter to you?

What experiences, perspectives, skills, or areas of expertise are you hoping to develop during the fellowship?

Which types of policy or advocacy activities have you previously participated in, if any?

Is there anything else you would like the selection committee to know when considering your application?

Please upload a copy of your CV.

Thank you! A member of the Selections Committee will be in contact to discuss next steps once your submission has been reviewed.