Community QI Collective Cohort 4 Application

QI Collective Cohort 4

Please complete this form to express you/your team’s intent to participate in wave four 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


Team Member 2


Team Member 3


Team Member 4


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.