University of Minnesota "Better Together" Guest Health Professional Interest Form 2023

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Thank you for your interest in participating as a guest health professional for “Better Together: Preparing for Collaborative Practice”!

The purpose of the event is to bring together over 1,300 students from 19 health professional programs to introduce them to the principles of working collaboratively. We are looking for a variety of practicing health professionals to facilitate interactive discussions with these students. Your role would be to share your valuable professional perspective and experience with collaborative practice with two small groups of students.

When: We will be hosting seven "Better Together" sessions this fall! In this form, you will be given the opportunity to select the dates for which you are available to participate. We aim for 40 guest health professional participants per session, and we are hoping that each guest health professional can commit to a minimum of two sessions. The time commitment for each session is 1 hour from 3:45-4:45 pm.

Where: These sessions will all be conducted online, via live Zoom sessions. You will be provided with a Zoom connection link and connect with the small groups of students using Zoom break-out rooms.

Feel free to forward the link to this form to any of your colleagues who may be interested in this opportunity as well!

Questions? Contact us at BetterTogether@umn.edu

Thank you for your consideration and we look forward to hearing from you soon!

Please complete this form to indicate your interest by July 21st. We will be in touch in late-July to confirm your exact session participation date(s) and provide additional session information.

Please note: You may not be confirmed to participate in all of the session dates you indicate below. We take many factors into consideration when assigning folks to sessions.

First Name *

Last Name *

Preferred Email Address *

Contact Phone Number *

Primary Institution / Organization *

University of Minnesota

College of St. Scholastica

Other:

Required

Primary Employment Status *

Advanced DNP Learner

College of St. Scholastica Faculty Member

Practicing Health Professional/Clinician

Resident

University of Minnesota Faculty Member

University of Minnesota Staff Member

Other:

Profession *

Examples: Physician, Physical Therapist, Nurse, Dentist, Health Administrator, Social Worker

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