Leadership Intern Program Application Form

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LEADERSHIP INTERN PROGRAM APPLICATION FORM

The Leadership Intern Program committee is soliciting applicants for the Leadership Intern Program that was established in 1998. Beta Mu chapter is one of a growing number of chapters in Sigma Theta Tau International STTI) that provides such an innovative program. The purpose of the Leadership Intern Program is to encourage future leaders to develop their leadership skills and insights within the framework of a local chapter. The selected Intern will have opportunities to learn different strategies for decision making, activity planning and coordinating, as well as networking, through participating in activities at the local, regional or national level.

Each Internship extends over a period of two years. The prospective Intern must submit an application and solicit support from two STTI members who will provide a reference on behalf of the applicant. All application materials must be received on or before February 14, 2009. The selected Intern will be introduced at the annual Beta Mu Chapter Induction Banquet in April for appointment to the Intern position in July 2009.

The leadership program is an outstanding opportunity for an interested individual to grow professionally and personally, to develop or expand leadership skills and to learn more about STTI and Beta Mu chapter. We encourage you to apply for this program, or recommend candidates to the chapter if you know anyone who has the potential of being a nursing leader. Leadership Intern Applications are available through contacting Peggy MacMacken at 520.873.5290 .

The Leadership Intern Program Committee looks forward to hearing from you. For questions or information, please contact any member of the Internship Committee.

Leadership Intern Program Committee Chair:

Peggy MacMacken RN, MS

520.873.5290

APPLICATION FORM I

Name:
Address:
City, State, Zip:
Phone (Home):
Phone (Work):
E-mail:

Description of activities you have been involved in on the chapter, regional and national levels of Sigma Theta Tau:
Description of other leadership and/or professional activities in which you have participated:

	Request two nursing leaders, who are Sigma Theta Tau members, to support your qualifications by completing the Nursing Leader Recommendation Form. The Recommendation Form must be received on or before the due date indicated February 14, 2009 by the Beta Mu Leadership Intern Program Committee. Name of Leader: Name of Leader: Return a current curriculum vitae to the following address: Beta Mu Chapter Sigma Theta Tau International College of Nursing, the University of Arizona Leadership Intern Program Committee 1305 N. Martin PO Box 210203 Tucson, AZ 85721-0203
	APPLICATION FORM II Please complete the following questions:
What are your goals for the Beta Mu internship?
How would your internship benefit the Beta Mu chapter?
How do you plan to use this experience to contribute to scholarship in nursing research, practice or education?

Sigma Theta Tau Beta Mu · College of Nursing · 1305 N. Martin · Tucson, AZ 85721-0203