HELP Application

Healthcare Executives Leadership Programme Application Form

Please carefully complete this form.

Facility Information

If applicable

Describe your healthcare facility

This should include the number of beds, the operational structure and the services provided.

Is your facility a primary, secondary or tertiary facility?

How many in-patient beds do you have in your facility?

Does your facility have an organogram?

Does your facility have standard operational guidelines in place?

Personal Information

Roles and Responsibilities

Brief description of current responsibilities

What percentage of your time is spent in clinical and managerial responsibilities?

Do you have any financial management responsibilities in your organization?

How many people do you manage?

Personal Statement

In not more than 150 words, tell us about yourself and why you feel you are suited for this programme.

What are your goals and objectives related to attending this programme?Not more than 150 words).

How do you feel this programme will be of benefit to you both personally and professionally? (Not more than 150 words).

What in your opinion do you feel other participants could learn from you? (Not more than 150 words)

How did you learn about this programme?

Full payment

NGN 550,000 x 1

Early bird -10%

NGN 550,000

Total:

NGN 495,000

Installmental payment

NGN 174,167 x 3

Early bird -10%

NGN 522,500

Total:

NGN 522,500

Thank you! Your submission has been received!
Select a payment plan below to proceed

Full payment

NGN 550,000 x 1

Early bird -10%

NGN 550,000

Total:

NGN 495,000

Select Plan

Installmental payment

NGN 261,250 x 2

NGN 522,500

Total:

NGN 522,500

Select Plan
Oops! Something went wrong while submitting the form.