IHI Open School Cultural Competency Expedition Application Question Title * 1. Please share the following information: Full Name Email Address Question Title * 2. Please indicate your role: Student Resident Faculty Health Professional Question Title * 3. Are you a part of an IHI Open School Chapter? Yes No If yes, please share the name of your Chapter below: Question Title * 4. Why are you interested in participating in this training? Question Title * 5. Share an example of how you’d promote cross-cultural communication in a hospital setting: Question Title * 6. How do you plan to apply the skills and knowledge gained through this training to your Chapter work and beyond? Question Title * 7. Please indicate if you are available to join the training sessions at the following times: Yes No Thursday, March 9, 12:00 - 1:00 PM (ET) Thursday, March 9, 12:00 - 1:00 PM (ET) Yes Thursday, March 9, 12:00 - 1:00 PM (ET) No Thursday, March 24, 12:00 - 1:00 PM (ET) Thursday, March 24, 12:00 - 1:00 PM (ET) Yes Thursday, March 24, 12:00 - 1:00 PM (ET) No Thursday, April 7, 12:00 - 1:00 PM (ET) Thursday, April 7, 12:00 - 1:00 PM (ET) Yes Thursday, April 7, 12:00 - 1:00 PM (ET) No Thursday, April 21, 12:00 - 1:00 PM (ET) Thursday, April 21, 12:00 - 1:00 PM (ET) Yes Thursday, April 21, 12:00 - 1:00 PM (ET) No Thursday, May 5, 12:00 - 1:00 PM (ET) Thursday, May 5, 12:00 - 1:00 PM (ET) Yes Thursday, May 5, 12:00 - 1:00 PM (ET) No Done