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Iora -- Innovation Fellowship Application Form 2015-2016.docx

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The document is an application form for the Iora Health Fellowship in Primary Care Leadership and Innovation. It requires personal information, educational history, a curriculum vitae, a statement of purpose detailing the applicant's motivations and background, and a reference list. The ideal candidate is described as an excellent clinician with a collaborative spirit and experience in health innovation. The application process includes submitting materials electronically by a specified deadline, with selected candidates invited for interviews.

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Click ‘Get Form’ to open the Iora -- Innovation Fellowship Application Form in our editor.
Begin by entering your personal information in the designated fields, including your name, date of birth, gender, mailing address, phone number, preferred email, place of birth, citizenship/visa status, and languages spoken.
Proceed to the Educational History section. Fill in details for your undergraduate institution, graduate institution, and medical school. Include dates attended, degrees earned, majors/concentrations, and any special programs.
In the Qualities of the Ideal Iora Fellow section, reflect on how your experiences align with the desired attributes. This is not a fillable field but will guide your application narrative.
Attach your Curriculum Vitae and Statement of Purpose as separate documents. Ensure they are concise and relevant to the fellowship's focus on health innovation.
Complete the Reference List by providing names and contact information for three professional references and one peer reference.
Finally, review all entries for accuracy before signing the Applicant Agreement at the end of the form.

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