STUDENT NATIONAL MEDICAL ASSOCIATION FUTURE LEADERSHIP PROJECT FELLOW APPLICATION 2015-2016 Program Director: Nailah Cash-O’Bannon Region II Future Leadership Project Co-Director 2015-2016 Student National Medical Association Region II Future Leadership Project 20152016 Dear SNMA Region II Member: Thank you for your interest in the Region II Future Leadership Project! The Future Leadership Project (FLP) serves as a programmatic initiative in the Student National Medical Association (SNMA) to offer the general regional member an opportunity to gain leadership skills and learn more about the regional and national organization. FLP is designed to recruit and mentor the next generation of SNMA leaders. Members who participate in the program will have the unique opportunity to develop leadership skills, receive mentorship from SNMA leaders and engage in personal growth. The Future Leadership Project enters its 1st program cycle for the 2015-2016 Region II SNMA administrative year. Participants are designated as FLP Fellows and are highly recognized within the regional organization. Fellows participate in an engaging and structured curriculum that will prepare them for leadership in the SNMA and in the profession of medicine. All SNMA national members are eligible to apply for the Future Leadership Project. The application process is competitive as only four (4) members are selected each year. Two (2) medical students and two (2) premedical or postbaccalaureate students will be selected as the 2015-2016 Region II FLP Fellows. The FLP curriculum is outlined below: Conference Calls – Fellows will participate in webinar lectures from regional officers – Lecture topics will include: SNMA overview, leadership and business skills and diversity in medicine Think Tank Mini-Challenges – Fellows will form Think Tanks (small groups) to work on tasks related to leadership development and success – Think Tanks will present monthly challenge projects and receive evaluations based on project completion Regional Committee Project – Each Fellow will join a Regional Committee or participate on the Strategy Team – Fellows will work with Regional Board members to complete a project of their interest over the course of the year. Leadership Component – Fellows will be invited to participate in the January Board of Directors meeting – Fellows who attend the Annual Medical Education Conference will participate in a leadership capacity Mentor Component – Fellows interested in regional office will be paired with a regional officer for individual mentorship Members interested in the FLP program are encouraged to contact the FLP Director directly to learn more about Fellow involvement and program aspects. All applications must be submitted no later than Sunday November 15, 2015. The official start of the program is early December 2015. We look forward to receiving your applications! Yours in SNMA, Nailah Cash-O’Bannon 2 Student National Medical Association Region II Future Leadership Project 20152016 Student National Medical Association Future Leadership Project Director 2015-2016 PROGRAM CURRIUCLUM TIMELINE* Late November 2015 Program Welcome Call: Program Leadership Team and New Leadership Fellows December 2015 Webinar Lecture Presentation #1 Think Tank Challenge Presentation #1 January 2016 Webinar Lecture Presentation #2 Think Tank Challenge Presentation #2 February 2016 Program Mid-Point Assessments March 2016 Webinar Lecture Presentation #3 Think Tank Challenge Presentation #3 AMEC April 2016 Program Wrap-Up *Note: All webinar presentations are held on the first Sunday of each month from 6pm-7pm CST. 3 Student National Medical Association Region II Future Leadership Project 20152016 2015-2016 Future Leadership Project Fellow Application Final Deadline for Submission: Sunday November 15, 2015 (11:59PM CST) Please read the Application Letter and review the Curriculum Timeline in its entirety before completing the application form. *Demographics: (all fields required) Name: Sex: Race/Ethnicity: Phone and Email: Academic Institution: Degree and Year: *Note: Sex and Race/Ethnicity will be used for tracking purposes only and will not factor into the application selection process. Please respond to the following questions. Each question response should be limited to 1-2 paragraphs. Consider your experiences as an SNMA member as you answer each question. Please type responses on this form for submission and submit as a separate document. Be sure to also list all SNMA member and leadership involvement. 1. What is your interest in the Future Leadership Project? What do you think you can gain from the program? 2. What skills do you believe are necessary for every leader to possess? List and discuss up to three skills. 3. What component of the SNMA would you like to learn more about and why? 4. What aspect of the SNMA would you like to enhance or improve? Provide a tangible approach or solution to enhance or improve this aspect. 5. Discuss a challenging scenario from when you worked in a team setting. What did you learn from this scenario and how will that experience benefit you in a future leadership role? List all current and past leadership roles and member involvement with the SNMA. List all leadership roles in other organizations. You may also include relevant experiences such as community service or research. 4 Student National Medical Association Region II Future Leadership Project 20152016 IMPORTANT APPLICATION DATES Applications Open: Thursday October 15, 2015 Final Deadline: Sunday November 15, 2015 Status Notification: Wednesday November 18, 2015 Acceptance Confirmation: Monday November 23, 2015 Application Process Overview: □ Respond to all application questions and list all leadership roles (page 3) □ Submit application form with completed responses as a PDF document to region2flp@gmail.com. □ A curriculum vitae (CV) can be submitted with your application form but is not required □ Applicants will be notified of receipt of their completed application within 3 days from email submission □ Final Deadline: Sunday November 15, 2015 (11:59PM CST)- NO LATE APPLICATIONS WILL BE ACCEPTED □ Applicants will be notified of final application status no later than Wednesday November 18, 2015 □ Applicants will have until Monday November 23, 2015 to confirm program acceptance. □ Selected Fellows will start the program in early December 2015 Please direct all questions to the Region II FLP Director at region2flp@gmail.com *This document was modified from the original National Future Leadership Project application composed by Drs. Priscilla Mpasi and Johnathon Smiley. 5