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UW LEND

Trainee Profile Worksheet







Please provide the following information about yourself. This information will by typed

onto your UW LEND Trainee Profile. Profiles for UW LEND long-term trainees are

posted on bulletin boards at CHDD and posted on the UW LEND website in the Trainee

Directory http://depts.washington.edu/lend/directory/trainees.html.

See UW LEND Consent Form; complete and sign this form to authorize permission for

posting your trainee profile.



Return the completed form to Nancy Saunders by email attachment:

charbert@u.washington.edu





Name:





E-Mail Address:





Hometown:





Discipline:





Faculty Mentor:





Training Period (beginning & end dates; month/year):





Schedule at CHDD (days of week you will be at CHDD):







Previous Degrees & Educational Institution OR Related Experience:







List two or three of your personal UW LEND training goals:



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