Scholarship Application: This scholarship will cover the Simulation Instructor Training: Debriefing — Beyond the Basics Mayo Clinic employee registration fee. If the applicant does not attend the course and fails to cancel out of the course, the employee registration rate will be charged to your department.

Instructions: It is the applicant’s responsibility to verify and ensure all components of the application have been completed properly and submitted. Complete and return the form after obtaining your supervisor’s signature. Complete for evaluation no later than 4 weeks prior to the course date. Cancellations will be accepted if provided 2 weeks prior to the course.