Rural GME Administrator Leadership Institute

2026-2027 APPLICATION

Fee: $350

PLEASE NOTE: Do not send payment. Your organization will be invoiced once your application has been approved.

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Contact Information
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Requirements

First Name: *
Last Name: *
Program Name: *
Email: *
Is your program a THCGME or RRPD grant recipient?: *

Yes No I don't know
Mailing Address: *
Cell Number: *
City/Town: *
State: *
Zip Code: *
If accepted, will you be attending Kick-off in-person in Duluth, MN?: *

Yes no I’m not sure yet

Years of administrator/coordinator experience: *
Specialty: *
Letter of Support from PD or supervisor: *
Upload your CV: *
Describe your relationship to a program with a rural or underserved purpose. (100 word limit): *
Why do you want to participate in the Leadership Institute? (100 word limit): *
What do you hope to gain from being part of the Leadership Institute? (100 word limit) : *
Initial idea for Project Topic: *

*In order to receive a certificate, I understand it is required that I:

Attend 8/10 meetings
Have my camera turned on during conversations
Participate in small groups as necessary
Meet with my mentor on a regular basis
Provide feedback for monthly topic evaluations
Complete a project for my program

I will meet the requirements above if accepted.: *
If you are interested in applying for a scholarship, please click here: Scholarship Application