Apply to be a National or Regional Collaborating Center of Excellence

Name

This field is for validation purposes and should be left unchanged.

Your name and e-mail(Required)

What is the name of your institution?(Required)

To which region do you belong?(Required)

Country Name(Required)

Who would be the Executive Director for your Collaborating Center of Excellence?(Required)

What is the email of the identified Executive Director of your Collaborating Center of Excellence?(Required)

In a brief paragraph describe your primary reasons for wanting to become a TUFH Collaborating Center of Excellence for your Country?(Required)

In 1-2 sentences describe your relationship, if any, with any national associations of schools (medical, nursing, public health….).

I understand that my Country Collaborating Center of Excellence will be an independent chapter of TUFH and be licensed to use and replicate TUFH’s services and products on a national or regional level. These include, but are not limited to, The Social Accountability Institutional and Interprofessional Education and Collaborative Care Institutional Self-Assessment, TUFH Academies, and TUFH Communities of Practice.(Required)

Yes

I understand that my institution will be required to pay an annual license fee ($5,000/low income countries; $10,000/middle income countries; or $15,000 high income countries) OR recruit a minimum of 10 Institutions who are not currently TUFH members to become TUFH Institutional Members. TUFH will either grant a country license or a regional (covering multiple countries) license. TUFH will reinvest the license fees into the adaptation and improvement of TUFH technical services and products, development of new services and products, and infrastructure to support ALL centers of excellence.(Required)

My institution intends to pay an annual license fee for my country.

My institution intends to recruit a minimum of 10 institutions to become TUFH institutional members.

My institution requests 1 or more regional licenses and intends to pay an annual license fee.

My institution requests 1 or more regional licenses and intends to recruit a minimum of 10 institutions per regional license.

I understand that TUFH will maintain Intellectual Property for all technical services and products and will be the legal entity to issue certificates and badges.(Required)

I understand that any financial resources raised above the annual license fee or 10+ institutional memberships will be kept by my own institution to manage its own infrastructure costs.(Required)

Briefly describe your strategy to cover your Collaborating Center of Excellence Infrastructure costs.(Required)

I understand that TUFH will NOT enroll National or Regional Centers of Excellence participants in its global services and products including Social Accountability and Interprofessional and Collaborative Care Institutional Self-Assessment and Certification and TUFH Leadership, Faculty, or Student Academies without the approval of my Country's Collaborating Center of Excellence.(Required)

My institution commits to participate in the training and capacity building on its technical products and services AND participate in global learning and sharing with TUFH Collaborating Centers of Excellence across the globe for the continual adaption and improvement of TUFH's technical products and services.(Required)