Innovation Self- Nomination Application
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1.
Title of Innovative Project
(Required.)
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2.
Institution Name
(Required.)
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3.
Institution Type
(Required.)
Professional
Residency and Fellowship Program
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4.
Program contact person name
(Required.)
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5.
Would you be willing to integrate this innovative practice into future educational programming?
(Required.)
Yes
No
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6.
Describe your innovative project, including purpose, goals, and scope of the innovation. [no more than 300 words]
(Required.)
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7.
Describe the implementation of the innovative project. [no more than 100 words]
(Required.)
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8.
How has implementing your innovative process improved learner achievement and/or contributed to the program's overall success? Please provide specific examples or data that demonstrate these improvements. [no more than 200 words]
(Required.)
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9.
If applicable, describe the project's ability to be adapted or scaled to a different context or setting
(Required.)