Leadership in Healthcare: 2013 National MBA Case Competition

Team Application

Important dates:

Pre competition dinner & briefing session: Thursday, February 14th, 2012

Case Competition: Friday, February 15th, 2012

Directions: Please elect a team captain whowill be the main point of contact for all further communications from the Case Competition Leadership Team. All members must fill out their respective parts of the application. Please attach resumes ofall team members. The teamisalso responsible for filling out a brief description of the Team Strengths for the application to be complete.

The application deadline is December 21th, 2011 at 5 PM EST.

Send the application to: Crystal Huber ()

*In addition, the $100 application fee, per team, will be due upon acceptance to the competition and is non-refundable.

School and programs represented:

Team strengths (300 words or less):

Team Captain

Name:

Master’s Program (Include year in program):

Concentration/major/emphasis:

Pre MBAwork experience:

Summer Internship (Company & Role):

Club involvement & positions held:

Reason for entering:

Please tell us why you are interested in participating in the Leadership in Healthcare Case Competition. (200 words or less)

Resumé:

Please attach your resumé in PDF format. (Max. 500kb)

I would like my resumé to be distributed to the sponsors of the forum:

_____ Yes _____ No

Team Member #2

Name:

Master’s Program (Include year in program):

Concentration/major/emphasis:

Pre MBAwork experience:

Summer Internship (Company & Role):

Club involvement & positions held:

Reason for entering:

Please tell us why you are interested in participating in the Leadership in Healthcare Case Competition. (200 words or less)

Resumé:

Please attach your resumé in PDF format. (Max. 500kb)

I would like my resumé to be distributed to the sponsors of the forum:

_____ Yes _____ No

Team Member #3

Name:

Master’s Program (Include year in program):

Concentration/major/emphasis:

Pre MBAwork experience:

Summer Internship (Company & Role):

Club involvement & positions held:

Reason for entering:

Please tell us why you are interested in participating in the Leadership in Healthcare Case Competition. (200 words or less)

Resumé:

Please attach your resumé in PDF format. (Max. 500kb)

I would like my resumé to be distributed to the sponsors of the forum:

_____ Yes _____ No

Team Member #4

Name:

Master’s Program (Include year in program):

Concentration/major/emphasis:

Pre MBAwork experience:

Summer Internship (Company & Role):

Club involvement & positions held:

Reason for entering:

Please tell us why you are interested in participating in the Leadership in Healthcare Case Competition. (200 words or less)

Resumé:

Please attach your resumé in PDF format. (Max. 500kb)

I would like my resumé to be distributed to the sponsors of the forum:

_____ Yes _____ No

Team Member #5

Name:

Master’s Program (Include year in program):

Concentration/major/emphasis:

Pre MBAwork experience:

Summer Internship (Company & Role):

Club involvement & positions held:

Reason for entering:

Please tell us why you are interested in participating in the Leadership in Healthcare Case Competition. (200 words or less)

Resumé:

Please attach your resumé in PDF format. (Max. 500kb)

I would like my resumé to be distributed to the sponsors of the forum:

_____ Yes _____ No