Application (maximum of three pages, single spaced, 1-inch margins and 12-point font) must include the following:
- Purpose statement for the initiative or practice model
- Brief history (including inception date) of the initiative, practice model, and identification of key stakeholders within the initiative
- Description of the initiative or practice model to include
- How the initiative or practice model functions
- Evidence of impact
- Clear articulation of how the initiative demonstrates leadership and innovation in the integration of collaborative practice and interprofessional education, in academic and practice partnership(s).