CSG leadership development funds application

Funds have been made available to promote leadership development within the practice. For details and eligibility requirements please download and read the CSG leadership development funding request criteria (PDF).

Name of person requesting funds

CSG leadership role

Name of conference, seminar, course or activity

Location (if applicable)

Date(s)

Deadline for registration? If applicable, please provide early bird registration dates as well.

Total activity estimated expenses

Funds being requested from CSG for activity: ($5,000 maximum)

What portion of this activity is being supported by your department?

Provide a brief overview of the activity

Describe how this activity will benefit you in your current role or in taking on a leadership role with CSG (building financial acumen, quality improvement, developing leadership skills)

*Reminder: - Two letters of recommendation (one from medical leader, one from colleague or administrative leader) are also required to complete this request. Letters of recommendation can be sent via e-mail lnewton@mcw.edu, fax (414) 266-1607 or by interoffice mail to Laurie Newton, C740. - Also, if applicable, please include any registration information and any accompanying forms related to the activity.

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CSG leadership development funds application