Affiliate Member Nomination Form This form should be completed by UF CARE Full Members nominating their trainees for Affiliate Membership. Mentor Name* First Last (Must be a UF CARE Full Member)Mentor Email* Trainee Name* First Last Trainee Email* When did the Trainee begin work with the Mentor?* Name of Training Program* (Undergraduate Major, Graduate Degree Program, etc.)Training Program University Department* Training Status/Level* Undergraduate Graduate Postdoctoral How is this trainee involved in addiction research or education?*Other Information(If there is other information necessary to consider this nomination)
