HSG Education or Care Initiative Formal Proposal

HSG Education or Care Initiative Formal Proposal

Before filling out this proposal form, please read through it and make sure you have all required elements ready to submit at one time. This application is not a “save as you go” process, so please be sure you have your necessary information ready when you complete your application.

Name*

Please enter your full name.

Date*

Initiative Title*

Initiative Leader(s)*

HSG Committee/ Working Group submitting request, if any

Is this a resubmission?*

Yes

Initiative description*

Please include how this will support HSG’s mission

Expected Outcomes*

Estimated Timeline*

Key Metrics (How success will be measured)*

Additional information or background that will provide clarity

What intellectual property could result from this project, if any?*

I understand and agree that any Intellectual Property (IP) developed by an HSG Committee or Working Group and/or with HSG resources will be reviewed and discussed on a case-by-case basis to determine acknowledgment and ownership rights.*

Estimated budget*

Please enter costs as applicable:

Send me a copy of my responses

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