Department Chair Permission Form

Thank you for your application to the Executive Healthcare Leadership Institute! Please send this link to your chair so that they can fill out the permission form granting protected time to complete the course.

Department Chair Permission Form | Center for Faculty Excellence (uams.edu)

If you have any questions, please contact Fatera Herd at fsherd@uams.edu.

Thank you again!

Department Chair (or Division Chief) Name(Required)

First Last Credentials

Faculty member name(Required)

First Last Credentials

Please comment on the faculty member's leadership potential and readiness for learning(Required)

UAMS-ExecEd-Program-Dates-2024-2025-v1 Download