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Waitlist Application

Program for Chairs of Clinical Services

January 23–February 4, 2022
This course is at or near capacity. Please complete this waitlist registration form, and we will inform you if a place becomes available.
$9,500.00 Standard Price

Application Criteria

  • Education and experience commensurate with professional achievement and organizational responsibility, as noted under the Who Should Participate/Who Should Apply section of the program webpage.
  • Proficiency in written and spoken English is essential for a successful learning experience in the program.
  • If you are not a US citizen or permanent resident, you must obtain appropriate immigration status. Letters of invitation for visa applications will be supplied only after full payment is processed.
  • To ensure the safety and well-being of our entire campus community, the State of Massachusetts requires that educational visitors are immunized against common contagious illnesses. Please ensure that your immunizations are up to date prior to arrival on campus.

Before you start: if you already have an Attendee Portal account with us, please login here to load your saved information. If you don't have an account, don't worry; one can be created for you during the registration process. In that case, skip this and proceed to the questions below.
Email Address Password
Are you applying yourself, or on behalf of someone else?
Optional: enter your assistant's contact information in the fields below. They will then be CC'd on most email communications to you.
Assistant First Name
Assistant Last Name
Assistant Email
Assistant Phone