EID Trainee Liaison Application 2022-2023

Duties: Represent trainee needs and experiences on the NCAL Mental Health Training Program Equity, Inclusion and Diversity Liaison Team; contribute to existing EID projects; establish new, trainee-focused initiatives

Eligible candidates: Full-time trainees

Time: 2 hours a week, 8 total per month

Term: December 2022-August 2023

Deadline: November 7, 2022

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* 1. Personal Information:

First Name

Last Name

Kaiser Permanente Training Site

Email Address

Phone Number

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* 2. Are you a full-time (40 hour) trainee with the NCAL Mental Health Training Program

Yes

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* 3. Tell us about your interest in pursuing this position.

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* 4. Tell us about your experience with Equity, Inclusion, and Diversity.

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* 5. Briefly share with us 1-3 ideas or initiatives you may be interested in pursuing if selected to be the EID trainee liaison.

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* 6. Have you discussed this opportunity with your supervisorsand/or manager?

Yes

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* 7. Upload your current resume/CV

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 8. Reference 1: Please provide the name, email, and phone number for your direct supervisor or training director.

Name

Address

Address 2

City/Town

Email Address

Phone Number

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* 9. Reference 2: Please provide the name, email, and phone number for your direct supervisor or training director.

Name

Address

Address 2

City/Town

Email Address

Phone Number