We are delighted that you are interested in establishing an Undergraduate Medical Education GHHS chapter at your institution. Our GHHS Chapters from around the world are a community of students, residents, and faculty members who are dedicated to the compassionate care of their patients, as well as committed to creating a healthcare system that is kind, safe, and trustworthy.

Membership into the Gold Humanism Honor Society is an opportunity for our members to act as leaders of humanism in healthcare in their communities.

Fields marked with an * are required.

General Chapter Information:

GENERAL CHAPTER INFORMATION:

Name of School / Program *

Institutional accreditation *

Full Liaison Committee on Medical Education Accreditation
Provisional Liaison Committee on Medical Education Accreditation
Full Commission on Osteopathic College Accreditation
Minimum Two Years Pre-Accreditation from Commission on Osteopathic College

How many campuses are under your Institution's accreditation? *

Please list the locations and class size at each site:

School Website: *

Chapter Advisor Full Name: *

Chapter Advisor Degree & Professional Title: *

Chapter Advisor Email: *

Additional Chapter Advisor Full Name:

Additional Chapter Advisor Degree & Professional Title:

Additional Chapter Advisor Email:

Please upload a short statement (200 words) from the newly identified Chapter Advisor(s) expressing their interest in accepting this role and being a leader of compassionate care for their chapter. *

Dean: *

Applicant Information

APPLICANT INFORMATION:

Applicant Full Name: *

Applicant Title: *

Applicant Mailing Address: *

Applicant Telephone Number *

Applicant Email Address *

GHHS Application:

GHHS APPLICATION:

Why would it be meaningful for your institution to start a GHHS chapter? *

WE ACKNOWLEDGE THAT GHHS CHAPTER MEMBERSHIP IS NOT EXCULSIVELY HONORIFIC, AND REQUIRES ACTIVELY ENGAGING IN OR LEADING A SERVICE PROJECT *

Please share the types of service learning, community, mentorship or other programs that your chapter might be interested in championing: *

Please describe your vision for branding and sustaining the chapter so that it becomes a part of the culture at your Institution: *

How will you introduce GHHS to your student body/institution? *

How do you plan to implement the peer nomination and induction process considering your institution's timeline? *

Please describe your plans for formally inducting selected members into GHHS. *

Letter of Support

LETTER OF SUPPORT:

Please attach letter of support from your Dean explicitly acknowledging the annual GHHS dues in the amount of $3500 which are required to maintain your chapter’s active status and apply for grant funding. A GHHS Chapter is responsible for their annual dues beginning in the third induction year *

The Gold Partners Council is a critical partner for the Gold Foundation, both as a vibrant extension of its mission into medical schools, academic medical centers, and hospitals, and as invaluable support to ensure humanistic care is sustained in the future.

The Gold Partners Council is a critical partner for the Gold Foundation, both as a vibrant extension of its mission into medical schools, academic medical centers, and hospitals, and as invaluable support to ensure humanistic care is sustained in the future.

Our Institution is interested in learning more about the Gold Partner Council (GPC)

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