Faculty Appointment Application Form

Name*

Title*

Primary Department*

What type of AI appointment are you applying for?*

Core Faculty

Associate Faculty

Visiting Faculty

If you are applying for an appointment as Visiting Faculty, please provide the following information:

• The name of your AI core faculty sponsor

• The requested duration of this appointment

Why you are interested in an appointment with the Armstrong Institute for Patient Safety and Quality?

In 250 words or less, please explain:*

What are your specific areas of interest within patient safety and quality of care?

In 250 words or less, please describe:*

Please attach a current CV.

Upload a file:*

Please attach a brief letter of support for this faculty appointment from your division/department/school.

Upload a file:*

Fields marked with * are required.

Quick Links

Related Websites

For more resources in patient safety and quality, visit the sites of two Hopkins groups that are now part of the Armstrong Institute.
• Quality and Safety Research Group
• Center for Innovation in Quality Patient Care

Patient Safety Forum

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