Thank you for your interest in joining the Clinical Faculty & Preceptor Academy (CFPA). Please complete this online survey if you would like to join our program.

Data elements collected in this survey that require a response are mandated by our program sponsor (Health Resources and Services Administration, HRSA), so if you would like to be part of our program, we kindly request that you please provide all information requested in this form.

This survey should take less than 10 minutes to complete. You must complete the survey in "one sitting". If you close the survey window, you will be asked to re-enter all information again.

If you have any questions, please email CFPA@geisinger.edu

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