IHI Open School Regional Leader Application Question Title * 1. Please share the following information: Name State/Province Country Email Address Question Title * 2. Please indicate your role below: Student Resident Faculty Health professional Question Title * 3. Are you a part of an IHI Open School Chapter? Yes No Question Title * 4. If yes, what is the name of your IHI Open School Chapter? Question Title * 5. I am applying for the Regional Leader position in the following region: (US) Northeast (US) Midwest (US) Southeast (US) Southwest (US) West Coast United Kingdom Continental Europe Canada Latin America Question Title * 6. How many years, and in what capacity, have you been involved with the IHI Open School? Question Title * 7. Why do you want to be a Regional Leader? Question Title * 8. Do you have any ideas for improvement within your region? If so, please share them below: Done