CAPToR Affiliate Faculty Request Form

If you are a current University of Florida faculty member, and would like to be an affiliate faculty member with the Center for Advanced Pain Therapeutics & Research (CAPToR), please complete the steps below.


Full Name(Required)
Please describe (<400 words) why you are requesting affiliate status with the Center for Advanced Pain Therapeutics & Research (CAPToR).
Please confirm that you've spoken to CAPToR leadership prior to submission:(Required)
CV must include all of your mentoring and teaching activities.
Max. file size: 125 MB.
Signature(Required)
By signing, you agree to the expectations of mentors to hold affiliate faculty status with the Center for Advanced Pain Therapeutics & Research (CAPToR).
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