Are you willing to participate as a Mentor?
Would you prefer a mentoring relationship via? (check all that apply):
Name
Salutation(p):
Titles/Credentials(p): | Check all that apply. RPB and CBSP will be added by the ABSA office.
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Print Name(p): | This is how you would like to see your name printed in ABSA literature, programs, etc. Do not include RBP or CBSP as they are added by the ABSA office. |
Your Job Title(m): |
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Your Organization(m): | If your organization is not listed here or if your organization is listed incorrectly please let us know.
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Dept./Division(m): |
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Sub Dept./Div.(m): | (if needed)
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I've been with this organization since(o): | YYYY-MM-DD (ie. 2012-10-24)
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Describe your current responsibilities(m): | |
Short Bio(m): | Example: I am the Chief Biosafety Officer at XYZ University and responsible for the risk assessment and oversight of all Biosafety related functions. I am a CBSP and for the past 8 years, have delivered over 14 Biosafety training programs to Biosafety and scientific professionals/audiences.
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Educational Degrees Obtained(o): | List all educational degrees obtained. Example: Master of Science, Biology; concentration in Biosafety/Biosecurity Southeastern Louisiana University, Hammond, LA May 2006 GPA: 3.4
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Resume(m): | PDF documents only. Please name your document using this naming convention: lastname_firstname_yymm (For example, John Smith's resume dated May 2015 would be "Smith_John_1505.pdf")
You do not have permission to upload files to this gallery.
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I've been working in biosafety since(m): |
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Biosafety sectors(m): | please indicate what sector(s) you apply or have applied your biosafety skills
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Other Sector(m): | |
Areas of Expertise
(information available to ABSA members only)
Please select the topics/areas you consider yourself to have knowledge and expertise in.
You may choose up to 4.
You must choose one.
(required fields in red)
(p)=information can be public
(m)=information only available to ABSA members
(o)=information only available to ABSA office and appropriate committees