AUPN Chair-to-Chair Coaching Pairing (Coach) | Association for University Professors of Neurology

AUPN Chair-to-Chair Coaching Pairing (Coach)

Name (First & Last) *
Institution *
Email *
Phone *
What is your institution type? *

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Is your primary hospital owned by the University? *

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What is your residency size? *

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Number of full time primary faculty *
Does the Department include Child Neurology? *

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What issues would you prefer to provide mentoring on? *
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Please name any individuals would you prefer not to have as a mentee.
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