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GIVING
2024 CAPES Academy Application
APPLICATION INFORMATION
You must be an RN or APRN, from one of the eight states in the Southeast United States (Georgia, Alabama, Florida, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee).
You must be a US citizen or resident
Submit a 300 to 500-word essay about why you would be a good fit for the CAPES Academy program. Please include the following information in your essay:
A statement of purpose:
A description of your background, with any relevant experience
A description of your goal and what you hope to achieve from the CAPES Academy
A description of your perspective on clinical nursing education or clinical preceptorship
A description of the population with whom you plan to work upon the completion of the academy (RN students, APRN students, RN preceptees, APRN preceptees...), and what their needs are.
An insight on what you perceive as a barrier(s) to your completing the academy requirements (6-7 online training modules, one week in-person training in Atlanta, and monthly virtual meetings) and how you could overcome those barriers
Submit a professional reference from a colleague or supervisor familiar with your background, interests, and abilities to
CapesAcademy@emory.edu
Submit a letter from a supervisor or your organization's leadership, supporting your engagement in the week-long in-person training at Emory University November 6 - 10, 2024 to
CapesAcademy@emory.edu
Your essay can be submitted via the upload widget at the bottom of this application.
Please complete the form in its entirety.
Personal Information
First Name
Middle Name
Last Name
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Phone Number
Email Address
Work Organization
Work Address
Work Address
Country
Street
City
Region
Postal Code
I work with underserved/rural populations.
I work with underserved/rural populations.
Yes
No
Not Sure
My workplace is classified by HRSA as
Health Professional Shortage Area
(HPSA)
My workplace is classified by HRSA as
Health Professional Shortage Area
(HPSA)
Yes
No
Unsure
Trainees have the options of completing the required one-day shadowing experience at their own institution, or at Emory's clinical partners in Atlanta. The latter requires credentialing process such as background check, immunization records, and drug screening. Do you plan to complete the shadowing experience at Emory?
Trainees have the options of completing the required one-day shadowing experience at their own institution, or at Emory's clinical partners in Atlanta. The latter requires credentialing process such as background check, immunization records, and drug screening. Do you plan to complete the shadowing experience at Emory?
Yes
No
Upload Personal Statement
See above for criteria.
Please ask your reference
and supervisor/organization leadership
to email your reference letter
and support letter
to
CapesAcademy@emory.edu
.
IF YOU HAVE ANY QUESTIONS, CONTACT
CapesAcademy@emory.edu
.
Submit