California Health Care Safety Net Institute

IHI Scholarship Form

Please send in your request by filling out this brief Scholarship Form. The applicant will be contacted and, if approved, provided a code to enter into the electronic registration form on the IHI website. There will also be follow-up with applicants regarding possible travel support. For questions regarding IHI scholarships, please contact Angelina Ramos at aramos@caph.org or (510) 874-7102. Required fields are marked with * Name* Title* Organization* Email* Phone* Fax IHI Program* Program Date* Comments
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