Staff Affiliate Member Nomination Form » Center for Addiction Research & Education » College of Medicine

UF CARE Staff Affiliate Member Nomination Form

This form should be completed by UF CARE Full Members nominating their staff for Staff Affiliate Membership. Eligible staff members: 1) Work in addiction-substance use science either in direct data collection and/or oversight/training/administration with at least a 0.5FTE on substance use/addiction related research. General administrative staff would not be eligible, nor those who provide services without regard for domain. 2) Work in addiction-related research for at least 1 year. Staff affiliate members are not eligible for UF CARE funding opportunities (e.g travel awards, dissertation aid awards). Level of participation (such as joining committees) is directed by Member's approval.

UF CARE Full Member Name*
First Last
(Must be a UF CARE Full Member)
UF CARE Full Member Email*
Staff Name*
First Last
Staff Email*
When did the Staff Member begin working with the Member?*
Job Position Title*

(e.g. OPS Clinical Research Assistant, TEAMS Research Coordinator I, etc.)
University Department*
How is this Staff Member involved in addiction research or education?*
Other Information
(If there is other information necessary to consider this nomination)