The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

tY5CyTMK4senewJXCARvIvhPjWsowRsNbNC7Wwdg3V4wcZ6jLEJEFoHk5sscDVcZPAAEr6xvGHwSHibTgDr4ByBEjn65caxGHf7KeYaj9

UW BHSS Clinical Training Program Curriculum Resource Registration

Purpose

This form is to register to access the UW BHSS Gap Analysis Tools and Curriculum Map materials. Upon completion of this form, you will receive an email with the link to the materials and the password needed to access the site.

Privacy and Confidentiality

The UW BHSS Clinical Training Program is committed to maintaining the confidentiality of your personal information and will not sell, share, or disclose your name and email address to any third parties. Your information will remain strictly within our organization.

Your name and email address will be used to contact you for follow-up, such as important updates to the Curriculum Map and Gap Analysis Tool materials. The UW BHSS Project Team may also contact you for feedback during the evaluation phase of the project.

Consent

By providing your name, organization, email, and selecting "Submit," you are agreeing to the use of this information as described above.

Questions & Updates

If you have any concerns or questions or want to be added to the UW BHSS Clinical Training Program's mailing list for project communication and updates, please do not hesitate to contact us at bhsswa@uw.edu.

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