External Assessor Cohort Application
Thanks for applying for the EA Cohort. Please note the signed applicant and supervisor commitment statement should be emailed to jwiedow@ywcastpaul.org by Mon May 6th
Name of applicant
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Organization
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Position Title
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Years at current organization
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Email address
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Preferred phone number
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Describe your previous experience or knowledge with the YPQA. (approx. 50 words or less)
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How have you worked within your organization or other programs on quality improvement? (approx. 50 words or less)
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Describe how you have worked collaboratively within community before.(approx. 50 words or less)
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How will participating as an External Assessor/Coach and in the SQUAD support your personal and professional growth?(approx. 50 words or less)
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Have you attended YPQA as a Self-Assessment in the past?
If yes, when?
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How many, if any, and what types (YPQA, SA-PQA, ASB-PQA, etc.) of observations have you completed in the past?
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I have reviewed the cohort information with my supervisor and have/will be sending the signed document to jwiedow@ywcastpaul.org
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