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April 2023 Regionally Planned Experiential Activity
Submission for Experiential Activity and Debrief
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Email
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Your email
Name
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Your answer
Select one:
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1st year AHEC Scholar
2nd year AHEC Scholar
Name of activity:
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Food Bank of NWI
American Red Cross
Alzheimer's Caregiver Support Group
Silver Mondays @ J's Breakfast Club
NAO Synchronous sessions
Future Careers Expo Mock Interviewer
HOSA judging
State AHEC Conference
Disability Awareness and Education
Earth Day Activity
Other:
Required
Sponsor/Organizer of activity:
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Your answer
Location of activity include address, city, state and zip code (if virtual, list it as virtual and your home address):
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Your answer
Date of activity
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MM
/
DD
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YYYY
Start and end time of activity:
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Your answer
How many total hours to complete activity? (example 2 hour webinar)
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Your answer
Which core topic area/s were discussed? Check all that apply
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Behavioral Health Intergration
Cultural Competency
Inter-professional Education/Practice
Practice Transformation
Social Determinants of Health
HRSA Defined Current and Emerging Health Issues: COVID-19, Opioid Epidemic, Zika Virus
Required
Briefly share what insight you gained from the experience.
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Your answer
After completing the activity, give one example of how the topic applies to the online learning material in Canvas or other didactic learning you have completed.
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Your answer
How can you apply ideas or principles from this activity to your career, your community or an under-served community to improve healthcare?
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Your answer
A copy of your responses will be emailed to the address you provided.
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