Please fill out the following information if you are interested in becoming a Quality Award Examiner for the 2020 cycle. Quality Award Staff will contact you in early Fall 2019 with information on the Examiner program

To learn more about the Quality Award Examiner program, please visit our website: https://www.ahcancal.org/quality_improvement/quality_award/Pages/Examiners.aspx


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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. Please mark your areas of expertise:

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