Johns Hopkins

Critical Care Rehabilitation Conference:

Understanding and Improving ICU Patient
Outcome

Student Application
October 24 -25, 2014


1. Information:

Name:

University (Name/City/State):

Hometown (City/State):

Date of Expected Graduation (Month/Year):

Phone:

Email:


2. Applicant Sponsor and Statement of Support:
Each applicant must be sponsored by a faculty member at your institution.
An optional statement of support by your sponsor can be submitted along with your application.

Faculty Sponsor Name and Title:

Faculty member e-mail:

3. Statement of Interest

I n a brief statement, please indicate your interest for consideration as an applicant to attend the J ohns
Hopkins Critical Care Rehabilitation Conference, include in your statement responses to the following:
1. Describe your interest in working with the critically ill and complex medical patient
population.
2. Describe your professional goals upon graduation.
3. Describe any knowledge or specific skills, which you will need to achieve these goal


PLEASE SUBMIT ALL APPLICATION MATERIALS TO:

Kathleen Sharkey, Career Specialist at ksharke1@jhmi.edu

Application is due by September 12, 2014 and you will be notified of acceptance no later than September 26, 2014.