Training & Capacity Building – TCB Trainee Status Update

Name *

First

Last

Email *

Are you currently a trainee? *

Yes
No

What type of trainee are you? *

Please Specify: *

Program/ Training Period

Please provide the start and end dates of your time as a trainee or your program enrollment. If you are still a trainee, include your expected completion date.

Start Date *

End Date (or expected completion date) *

Primary Supervisor(s) Name(s) *

What institution or organization are you currently affiliated with? *

Current Program *

If you are no longer a trainee, where are you currently working or studying? *

Current Professional/Employment Role *

Please specify the type of position (e.g. research/teaching position, contract/sessional instructor) *

Are you currently working in the field of neurodegenerative diseases? *

Are you a part-time or full-time trainee? *

Part-time (PTE)
Full-time (FTE)

Operations Team

History

TCB Trainee Status Update

TCB Trainee Status Update

Program/ Training Period

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