Call For Volunteers - CPHRM Study Guide

Submission Form

Thank you for your interest in volunteering to contribute to the CPHRM Study Guide.

You must currently hold the CPHRM designation to apply.

Once selection has been made you will be required to participate in a scheduled kick-off call that is scheduled for November 5, 2018 from 11am-12pm CT.

Writing will be due to the Chair of the publication on January 21, 2019.

Please complete the below fields. If you have any questions please contact Erin Ringstrand at eringstrand@aha.org

Please note: This form will not save your progress. If you leave the form before submitting your entry, your progress will be lost. Submissions are due Friday, September 7th.

Question Title

* 1. Contact Information

First Name

Last Name

Credentials

Title

Years of Experience in Risk Management

Email Address

Question Title

* 2. Please provide a summary of your risk management experience in areas you have expertise. (500 words max)

Question Title

* 3. Please indicate your expertise in the following areas

Operational

Clinical/Patient Safety

Strategic

Financial

Human Capital

Legal/Regulatory

Technology

Hazard

Claims & Litigation