Consent Form for Trained Facilitator National Directory
We are creating a national directory of facilitators trained in delivering "Entering Mentoring" (mentor training) or "Entering Research" (mentee training).

Please complete this Google Form if you participated in a train-the-trainer workshop (either "Facilitating Entering Mentoring" or "Facilitating Entering Research") sponsored by the National Research Mentoring Network (NRMN) or the Center for the Improvement of Mentored Experiences in Research (CIMER).

If at any time you wish to be removed from the national directory, you may contact Kim Spencer (kcspencer2@wisc.edu) or Emily Utzerath (emily.utzerath@wisc.edu).
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Institutional or Organizational Affiliation *
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Do we have your permission to add your name, email, and institutional affiliation to a public directory of facilitators trained in delivering "Entering Mentoring" (mentor training) or "Entering Research" (mentee training)? *
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