If this is a Course for Specific Skills & Knowledge - please name the course and how it applies to your learning/development. Each submission will be considered on a case by case basis.
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If you selected "New-please describe"
Write here, please.
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What is the time (duration / dates)? *
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What is the direct cost of the activity? Please breakdown (e.g. travel, lodging, food, tuition - please estimate as needed) and include total cost. *
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What is the rationale (how does it benefit you, the section, and the department)? *
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Please list 3-5 objectives that a participant should (or you plan to) achieve by completing this program. *
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Propose a potential action plan back at Michigan Orthopaedics as a result of participation in this program. *