JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Michigan Medicine Administrative Fellowship Webinar Sign-up Form 2024
Thank you for your interest in the Michigan Medicine Administrative Fellowship!
Please sign-up below to attend a webinar. Once you complete the form you will receive an email to the address you list below with the Zoom link to join, or you can copy/paste the Zoom information provided when you submit the form.
You can find additional information about the program on our website:
University of Michigan Health System (umich.edu)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Email Address
*
Your answer
Institution
Your answer
Program (MHA, MBA, MPH, MD, etc.)
Your answer
Which webinar(s) do you plan to attend?
*
Monday, May 20th (1:00 - 2:00pm EST)
Thursday, July 25th (10:00 - 11:00am EST)
Wednesday, August 14th (4:00 - 5:00 pm EST)
Required
Questions/Comments?
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Michigan.
Report Abuse
Forms