Community QI Collective Cohort 2 Application

QI Collective Cohort 2

Please complete this form to express you/your team’s intent to participate in wave two of the Community Quality Improvement Collective, and to help guide you in your project selection.

Step 1 of 4

Organization Details

Team Details

Team Member 1

Name(Required)

Team Member 2

Name

Team Member 3

Name

Team Member 4

Name

Program/project sponsor

Within the Community QI Collective, a sponsor refers to someone who will assist reducing barriers to implementation within your organization or group. They may provide time-relief for you to attend the sessions or work on the project.