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Executive Sponsor

In order to be considered for this program, we require that an executive (e.g. a medical group CMO, a medical group VP of Operations, etc.) endorses your participation in this program. Please provide their information in the fields below.

Essay (approximately 300-500 words. Do not exceed 750 words)

Your essay will be thoroughly evaluated and has significant determination in your potential admission to the Provider Leadership Academy. We strongly recommend you review your essay with your endorsing executive leader. For guidance, tips or feedback on your essay, you can email Choose ONE of the following topics, and upload your essay below.

Chosen Topic

Essay Grading Rubric

Essays will be graded on the following attributes:
  • Grammar/Spelling 25%
  • Content 25%
  • Clarity 25%
  • Passion/Potential for Leadership 25%

Upload essay file below:

Accepted file types: doc, docx, txt, pdf, rtf, Max. file size: 30 MB.
We suggest uploading a .pdf formatted essay to avoid file issues.
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