Please carefully complete this form.
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?
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?
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?
NGN 550,000 x 1
Early bird -10%
NGN 174,167 x 3
NGN 261,250 x 2
General Inquiries: firstname.lastname@example.org Admissions: email@example.com
Healthcare Leadership Academy22 Okotie-Eboh Close, Off Awolowo Road, Ikoyi, LagosM-F: 9am – 5pmSaturday, Sunday: closed
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