Name*

Email*

LPC*

Cincinnati

Columbus

Dayton

Southeast

1. What is your understanding of American College of Healthcare Executive?*

Please provide a brief paragraph.

2. The student representative is a 12-month commitment. Are you able to fulfill this requirement?*

Yes

3. What do you hope to achieve from your participation with the LPC Committee?*

4. What three words would you use to describe yourself?*

5. How will you to help cultivate a partnership between ACHE of Greater Ohio and your school’s student associations or cohorts?*

6. How would your participation with ACHE of Greater Ohio enhance your professional and personal goals/aspirations? *

Attachment your Resume*