Center-level enrollment in Quality Circle includes iNICQ for Critical Transitions and other programs and resources, and includes automatic annual renewal. Please complete this form to enroll your center. Invoices will be sent separately.

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* 1. Are you enrolling a current VON member center? (See a list of VON members)

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* 2. What features of the Quality Circle are your team planning to utilize?
(Select all that apply)

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* 3. If you plan to participate in iNICQ, please indicate the transitions you intend to focus your improvement project on.

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* 4. If you plan to participate in iNICQ, please describe the focus or area of improvement you will work on during the collaborative.

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* 5. Center Enrollment Information

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* 6. Even though payment will be due later, your center will be invoiced for Quality Circle membership for 2021. Fees are $7,000 for teams participating in iNICQ 2020, $7,500 for all other centers (prorated quarterly).

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* 7. Please indicate the information that influenced your decision to enroll your center in the Quality Circle (select all that apply):

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