Create Your Flynn Fellow Profile

Personal Information

Name(Required)

First Last

School Email(Required)

Personal Email(Required)

Mobile Phone(Required)

Mailing Address(Required)

Street Address Apartment, Suite, Unit (if applicable) City State / Province / Region ZIP / Postal Code Country

Home address different from mailing address?(Required)

Yes

Home Address(Required)

Street Address Apartment, Suite, Unit (if applicable) City State / Province / Region ZIP / Postal Code Country

Upload Headshot(Required)

Accepted file types: jpg, png, Max. file size: 5 MB.

Parent Information

Parent Name

First Last

Parent Email

Parent Mailing Address

Street Address Apartment, Suite, Unit (if applicable) City State / Province / Region ZIP / Postal Code Country

Do you want to add a second parent?

Yes

Parent 2 Name

First Last

Parent 2 Email

Parent 2 Mailing Address

Street Address Apartment, Suite, Unit (if applicable) City State / Province / Region ZIP / Postal Code Country

Academic Information

Nursing School(Required)

Faculty Advisor(Required)

First Last

Faculty Advisor Email(Required)

Faculty Advisor Title

School Dean

First Last

Dean Email

Fellowship Year(Required)

Host Hospital

Career Interests

Dream Job

Future Graduate Education Plans

Best Book Recently Read

Hobbies/Interests

Program Involvement

Stay Connected to the Flynn Foundation Community

This Fellowship is just one of many educational programs, learning opportunities, and related resources we offer to support your continuing professional development and future nursing career. As a Flynn Fellow we encourage you to stay involved with the Flynn Foundation beyond this summer Internship and look forward to you becoming an active and engaged member of our community. Whether you’re interested in recruiting, program marketing, mentoring, teaching, or helping future Fellows find their career pathway, we value your ideas, involvement and future contributions.

Please review and Rank the areas listed below in order of your interest (1=Highest, 4= Lowest), so we can keep you in mind for future involvement in these important related activities.

Networking/Mentoring

Professional Development

Marketing & Communications

Fundraising

Other Areas of Interest

Account Setup

Your username will be the Personal Email you provided at the beginning of this form.

Password(Required)

Enter Password Confirm Password

Create Your Flynn Fellow Profile

Personal Information

Parent Information

Academic Information

Career Interests

Program Involvement

Account Setup

Developing the next generation of oncology nurses.

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