APPLICATION COVER SHEET

Please complete this cover sheet and include it with the required documentation listed below:

Application cover sheet (this document completed/please print clearly)

Personal statement-(1 page maximum) - Include specifics on:* Why are you choosing a career in healthcare?

* How do you exhibit Ochsner's Values: Patient's First, Compassion, Integrity, Excellence & Teamwork

Three (3) current letters of recommendation- must include name, title & contact phonenumber and must be signed (combination of academic & professional required)NOTE: References interested in sending letters directly to concentration email address, must include candidates fullname in subject line. Letters must be received by specified concentration deadline for application to be considered.

Current Resume/CV

Unofficial graduate school transcript(s) Include with application packet, Transcript must be receivedby specified deadline for application to be considered. NOTE: An official transcript will be required upon hire.

FELLOWSHIP CONCENTRATION APPLYING FOR:_____________________________

NAME: __________________________________________________________________

MAILING ADDRESS: ______________________________________________________

________________________________________________________________________

PHONE: _________________________________________________________________

E-MAIL ADDRESS: ________________________________________________________

GRADUATE SCHOOL:_____________________________________________________

MASTER DEGREE ACHIEVED:______________________________________________

EXPECTED GRADUATE DATE: _________________ GPA: _______________________ IS A FELLOWSHIP REQUIRED FOR GRADUATION? YES__________ NO __________

HOW DID YOU HEAR ABOUT OCHSNER'S FELLOWSHIP PROGRAM?________________________________________________________________________

NOTE: Only the Operations Concentration offers fellowship opportunities in different regions and may require relocation, please provide us your preference by checking only one option below:

Baton Rouge ___ NorthShore ____

Deadline dates and email addresses provided belowOperations Concentration: Monday, September 30, 2019 - adminfellow@ochsner.org

Revenue Cycle Concentration: Monday, September 30, 2019- RevCycleFellow@ochsner.org Human Resource Concentration: Monday, October 28, 2019 - HR Fellowship@ochsner.org Finance Concentration: Monday, January 27, 2020 - FinanceAdminFellow@ochsner.org Supply Chain Concentration: Monday, January 27, 2020-SupplyChainFellowship@ochsner.org Information Services Concentration: Monday, February 24, 2020-ISDigitalFellowship@ochsner.orgNursing Concentration: Monday, March 2, 2020 - Nursingfellow@ochsner.org

Please send all required application documentation in one pdf file, via email, by required deadline to: above email address provided for specific concentration. Recommendation letters may be sent separately if necessary (subject line to include: candidate last name and first name). Any application documentation not received by the deadline listed above for the desired concentration, will not be considered.

For more information or to discuss the qualifications for a specific concentration, please call Faye Campo, Program Manager @ 504-842-0828 or visit our website at:

http://ochsner.org/careers/career-paths/administrative-fellowships

Thank you for your interest in Ochsner!

New Orleans ___ Shreveport ____

* What are your post-fellowship career goals and how will an Ochsner Administrative Fellowship help you achievethese goals?