{\rtf1\ansi\ansicpg1252\uc1 \deff0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f2\fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;} {\f32\froman\fcharset238\fprq2 Times New Roman CE;}{\f33\froman\fcharset204\fprq2 Times New Roman Cyr;}{\f35\froman\fcharset161\fprq2 Times New Roman Greek;}{\f36\froman\fcharset162\fprq2 Times New Roman Tur;} {\f37\froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f38\froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f39\froman\fcharset186\fprq2 Times New Roman Baltic;}{\f48\fmodern\fcharset238\fprq1 Courier New CE;} {\f49\fmodern\fcharset204\fprq1 Courier New Cyr;}{\f51\fmodern\fcharset161\fprq1 Courier New Greek;}{\f52\fmodern\fcharset162\fprq1 Courier New Tur;}{\f53\fmodern\fcharset177\fprq1 Courier New (Hebrew);} {\f54\fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f55\fmodern\fcharset186\fprq1 Courier New Baltic;}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0; \red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;}{\stylesheet{ \ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \snext0 Normal;}{\*\cs10 \additive Default Paragraph Font;}{\s15\ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 \f2\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext15 Plain Text;}{\*\cs16 \additive \ul\cf2 \sbasedon10 Hyperlink;}}{\info{\title U}{\author AMEDDCS Ches}{\operator mangelsdorffa}{\creatim\yr2002\mo9\dy24\hr11\min46} {\revtim\yr2002\mo10\dy1\hr7\min26}{\printim\yr2002\mo9\dy24\hr11\min45}{\version3}{\edmins2}{\nofpages4}{\nofwords712}{\nofchars4060}{\*\company U.S. Army}{\nofcharsws0}{\vern8269}}\margl1319\margr1319 \widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\formshade\horzdoc\dghspace120\dgvspace120\dghorigin1701\dgvorigin1984\dghshow0\dgvshow3\jcompress\viewkind4\viewscale100\pgbrdrhead\pgbrdrfoot\nolnhtadjtbl \fet0 \sectd \linex0\endnhere\sectdefaultcl {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4 \pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (} {\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \s15\ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 \f2\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {Subject: Baylor 50 Years Project \par \par Dear Baylor Alum, \par \par We need your assistance. The Baylor 50 years project is developing a database to commemorate the HCA program in 2003. It will be used to produce a work with narratives, class photos, honors, and summary program statistics. \par The work will be created in several formats. The CD-ROM can be used with the Alumni club home page to view current information. A commemorative book is being considered (depending upon demand and costs). Look for more details in the enclosed survey. \par \par This questionnaire will take about ten minutes to complete. It will be used to update a database for accreditation and consultative purposes. It will facilitate networking with your classmates and faculty. It w ill keep you informed about U.S. Army-Baylor University program developments and issues. Please take the time to answer questions as completely as possible. If you have any questions, please contact Dr. Dave Mangelsdorff (210-221-6756 or 6743) or \par }{\field{\*\fldinst { HYPERLINK "mailto:a.mangelsdorff@amedd.army.mil" }{{\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b02000000170000001e00000061002e006d0061006e00670065006c00730064006f00720066006600400061006d006500640064002e00610072006d0079002e006d0069006c000000e0c9ea79f9bace118c8200aa004ba90b4a0000006d00610069006c0074006f003a0061002e00 6d0061006e00670065006c00730064006f00720066006600400061006d006500640064002e00610072006d0079002e006d0069006c000000000000}}}{\fldrslt {\cs16\ul\cf2 a.mangelsdorff@amedd.army.mil}}}{ \par Thank you for your assistance! \par \line \par \page Date: \par \par }\pard \s15\qc \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {U.S. ARMY-BAYLOR UNIVERSITY GRADUATE PROGRAM IN HEALTHCARE ADMINISTRATION \par ALUMNI CLUB 50 YEARS PROJECT \par }\pard \s15\ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 { \par The following survey is intended to document some of your demographic and \par employment experiences in order to maintain a database for accreditation and \par consultative purposes. Selected data elements may be made available to other \par Army-Baylor HCA alumni on the Army-Baylor HCA Alumni Club home page to facilitate networking with your classmates and faculty. }{\field{\*\fldinst { HYPERLINK "http://www.txdirect.net/users/dmangels/bc00xx.htm" }{{\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b02000000170000003200000068007400740070003a002f002f007700770077002e00740078006400690072006500630074002e006e00650074002f00750073006500720073002f0064006d0061006e00670065006c0073002f006200630030003000780078002e00680074006d00 0000e0c9ea79f9bace118c8200aa004ba90b6400000068007400740070003a002f002f007700770077002e00740078006400690072006500630074002e006e00650074002f00750073006500720073002f0064006d0061006e00670065006c0073002f006200630030003000780078002e00680074006d00000000ffff0000} }}{\fldrslt {\cs16\ul\cf2 http://www.txdirect.net/users/dmangels/bc00xx.htm}}}{ \par Please enter or circle requested data as completely as possible. \par Your cooperation is appreciated. \par \par 1 NAME (First)_______________ (Middle) _____________ (Last) ________________ \par (Maiden Name if applicable) ______________________ \par \par 2 Gender: Male Female \par \par 3 Rank: (mark X through rank "entered Baylor" and circle "Highest rank attained") \par Entered Baylor as: O1 O2 O3 O4 O5 O6 O7 O8 civilian \par Highest rank attained: O1 O2 O3 O4 O5 O6 O7 O8 civilian \par \par 4 Service: US Army US Navy US Air Force US Coast Guard DVA \par civilian Foreign National Other \par \par 5 Corps: MSC MC NC VC DC Spec civilian other \par \par 6 Date of birth (YY/MM/DD): ____ ____ ____ \par \par 7 Date entered Federal service (YY/MM): _____ ______ \par \par 8 Current Title/Job: ___________________________________________since: (YY/MM) \par \par 9 Current Employer:__________________________________________________________ \par \par 10 Work Address: _____________________________________________________________ \par \par \par 11 Work City: _____________________________________________________________ \par \par 12 Work State: _____________________________________________________________ \par \par 13 Work Postal code: ____________________ \par \par 14 Country: ______ Country phone code ( ) \par \par 15 Home Phone Number: (area code) ( ) ______________________________ \par \par 16 Home E-mail: ________________________________________________________ \par \par 17 Work E-mail: ___________________________________________________________ \par \par 18 Home Page (URL) Address: _____________________________________ \par \par 19 Work Fax number: (area code) ( ) ________________________________ \par \par \par 20 Year Matriculated/Entered Baylor Graduate HCA: ______________________ \par \par 21 Graduated from Baylor HCA: Yes No \par \par 22 Graduation Date (YY/MM): ______/________ \par \par 23 Graduate Management/Research Project \par residency site: \par preceptor: \par project title: \par \par 24 Graduate Management/Research Project completion date (YY/MM):_____/___ \par \par 25 Highest Military Education Level completed: ___________________________ \par \par 26 Professional Degrees (list both before and after Army-Baylor HCA): \par Degree Institution (Name) Dates Attended (YY/MM-YY/MM) Major \par \par \par \par \par \par \par \par \par \par \par \par \par 27 Professional Associations/Credentials (circle applicable membership level): \par \par member diplomate fellow \par American College of Healthcare Executives (ACHE): M D F \par \par American Academy of Medical Administrators (AAMC): M D F \par \par American Hospital Association (AHA): M D F \par \par Medical Group Management Association (MGMA): M D F \par \par Other (explain): \par \par \par \par \par 28 Career Path Since Baylor (list last 5 positions): \par \par Institution Dates (YY/MM-YY/MM) Position/Title Rank \par \par \par \par \par \par \par \par 29 Date of Rank(s) \par Rank Date (YY/MM) \par \par 30 Personal Contacts (names of other Baylor alumni who will know your \par address) \par Name Address Class/affiliation \par \par \par 31 Baylor Status: Dates (YY/MM-YY/MM): \par Preceptor \par Faculty \par Other \par \par 32 Preceptor: if yes, which institution, when? \par Resident(names) supervised: \par institution when name of resident(s) \par \par \par 33 Commander, Deputy Commander Administration (DCA), Executive Officer (XO), \par senior leadership position(s): \par if yes, position, which institution, where, when? \par position institution where when \par \par \par 34 Are you still working in healthcare? yes no \par \par 35 Preferred Communication Mode to Receive Information: \par Letter \par E-mail \par Internet \par Other \par \par Other comments \par \par The Baylor 50 years project is developing a database to commemorate the HCA program history. It will be used to produce a work with narratives, class photos, honors, and summary program statistics. T he work will be made in several formats. The CD-ROM can be used with the Alumni club home page to view current information. \par When available, would you purchase (either or both): \par CD-ROM (price $15.00 includes postage) yes no \par commemorative book (price to be determined $60-75) yes no \par printer/binder/publisher to be determined if sufficient interest \par \par Please send list of publications, resume, officer record brief, officer service record, or biographical sketch. If you have class photo and pers onal photo, please share (they will be returned if requested). We are proud of your accomplishments and which to recognize them. Thank you for your participation! \par \par Please return to Dr. David Mangelsdorff, U.S. Army-Baylor Univ. Graduate Program in Healthcare Administration, U.S. AMEDD Center & School (ATTN: MCCS-HRB), \par 3151 Scott Road, Fort Sam Houston, TX 78234-6135 \par \par Questions: }{\field{\*\fldinst { HYPERLINK "mailto:a.mangelsdorff@amedd.army.mil" }{{\*\datafield 00d0c9ea79f9bace118c8200aa004ba90b02000000170000001e00000061002e006d0061006e00670065006c00730064006f00720066006600400061006d006500640064002e00610072006d0079002e006d0069006c000000e0c9ea79f9bace118c8200aa004ba90b4a0000006d00610069006c0074006f003a0061002e00 6d0061006e00670065006c00730064006f00720066006600400061006d006500640064002e00610072006d0079002e006d0069006c000000000000}}}{\fldrslt {\cs16\ul\cf2 a.mangelsdorff@amedd.army.mil}}}{ \par (w) 210-221-6756 or 6345 \par (fax) 210-221-6051 or 8680 \par \par }}
This Page Hosted by Internet Direct, Inc - San Antonio Web Design, Web Hosting & Internet Access