Ever Better Mentoring Course

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Ever Better Mentoring Course

APPLICATION | October, 2022 - December, 2022

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First Name *

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Middle Initial *

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Last Name *

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Preferred First Name *

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Degree(s) *

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Email Address *

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Department *

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Academic Title(s): *

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Number of Years at Current Academic Appointment *

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Are you currently serving as a formal mentor to trainees or junior faculty? *

Yes

No

If yes, how many mentees do you have? *

Your answer

Are you currently mentoring CTSI TL1 or KL2 grantees? *

Yes

No

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