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* 1. Name

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* 2. Titles (e.g. PhD, MSW, LICSW)

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* 3. Pronouns

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* 4. Position Title

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* 5. University / Organization / Internship

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* 6. Website link for your University / Organization / Internship

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* 7. Your Fellowship Start and End Year (Ex: 2005-2008)

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* 8. Link to professional webpage to share with the MFP community (e.g., university bio webpage; LinkedIn; etc.)

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* 9. Email
(your email will be used for MFP staff to follow-up with you)

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* 10. Each edition of MFP Connect is tailored around a guiding theme.
Select which month you wish to have your profile included.

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* 11. Current project, publication, or achievement you wish to be highlighted (4-7 concise sentences) *please include any website links you make reference to here and write out any abbreviations.

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* 12. Are you currently receiving the monthly MFP Connect newsletter?

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* 13. High-resolution headshot

JPEG, JPG, PNG file types only.
Choose File

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* 14. Additional headshot choice

JPEG, JPG, PNG file types only.
Choose File
The information submitted in this form will be shared in the monthly MFP newsletter which is posted on the CSWE MFP website.
Thank you for your submission. Sara Daneshmand will follow-up with you about your alumni profile in the newsletter.
You may contact sdaneshmand@cswe.org for any feedback.
 
 100% of survey complete.

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