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Faculty & Staff Directory Form

Faculty & Staff Directory Form

Posted on July 31, 2019

This form collects information from faculty and staff in order to update directory pages on the School of Nursing website. By filling out this form, you give your consent for the information to appear on this website. You may contact us at communications@son.wisc.edu to edit your information.

Name*
First Last
Pronouns (optional)
She/her, he/him, they/them, etc.
Credentials
Highest degree followed by licensures (e.g. PhD, DNP, RN, etc.).
Working title*
Your working, as opposed to official HR, title.
School of Nursing email address*
Work phone number*
Office location*
Directory classification*
- Tenure-track faculty
- Clinical faculty
- Staff
Have you had a headshot taken at the School of Nursing?*
The directory uses headshots, with your permission, taken by our staff photographer.
- Yes
- No, and I don't want my photo to appear in the directory.
- No, and I have a photo session scheduled.
- No, and I would like to be contacted regarding an upcoming photo session.
LinkedIn or other website profile (optional)
Further information about your professional accomplishments, such as your public LinkedIn page, online resume/CV, or other public profile.
Professional Twitter or other social media link (optional)
Please include links used primarily for professional reasons.
Additional professional website, e.g., lab website, CV, ResearchGate (optional)
Additional professional website, e.g., lab website, CV, ResearchGate (optional)
UW–Madison Experts Database link (optional)
Education
Provide the program, university and graduation year for all degrees and certificates you’ve received.
Areas of Research Interest
Check all that apply. Research projects can be detailed in the bio.
- Children and families
- Health disparities
- Health systems
- Mental health and substance use
- Older adults
- Public health
- Reproductive health
- Self-management
- Symptoms and palliative care
Areas of expertise
Achievements (e.g. awards, board designations, etc.)
Bio
A brief overview of your professional work and expertise. Please write in the third person.
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