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