Clinical Recognition Program
Application Packet
Checklist 1
Please complete, print and submit this form with your application. We will notify you of your scheduled interview date via your partners.org email address. Please check your account regularly for information.
Open Checklist
Cover Letter
The cover letter serves several purposes. It introduces you to the review board and allows you to further speak to the themes and criteria for the level you are applying for.
View Guidelines
Clinical Narrative
A Clinical narrative is a first person “story” written by a clinician that describes a specific Clinical event or situation. Writing the narrative allows a clinician to describe and illustrate her / his current Clinical practice in a way that can be easily shared and discussed with professional colleagues.
View Narrative
Resume or Curriculum Vitae
The main components that should be included in your resume/curriculum vitae.
View Guidelines
Letters of Support
Please give a copy of this sheet to each applicant who will be writing a letter of supporting your application.
View Narrative
Leadership Endorsement Form
Please give this sheet to the director who will endorse your application
View Narrative
Application Calendar
Applications are accepted by the first day of every month. Decisions are made within three months of submission. Bring completed portfolios to Julie Goldman, Austin 342b.
View Calendar
Cover Letter Template
The cover letter serves several purposes. It introduces you to the review board and allows you to further speak to the themes and criteria for the level you are applying for.
Open Template
Clinical Narrative Template
A Clinical narrative is a first person “story” written by a clinician that describes a specific Clinical event or situation. Writing the narrative allows a clinician to describe and illustrate her / his current Clinical practice in a way that can be easily shared and discussed with professional colleagues.
Open Template
Letters of Support Template
Please give a copy of this sheet to each applicant who will be writing a letter of supporting your application.
Open Template
Leadership Endorsement Form
Please give this sheet to the director who will endorse your application
Open Form