Alumni Profile in MFP Connect Newsletter Question Title * 1. Name Question Title * 2. Titles (e.g. PhD, MSW, LICSW) Question Title * 3. Pronouns Question Title * 4. Position Title Question Title * 5. University / Organization / Internship Question Title * 6. Website link for your University / Organization / Internship Question Title * 7. Your Fellowship Start and End Year (Ex: 2005-2008) Question Title * 8. Link to professional webpage to share with the MFP community (e.g., university bio webpage; LinkedIn; etc.) Question Title * 9. Email(your email will be used for MFP staff to follow-up with you) Question Title * 10. Each edition of MFP Connect is tailored around a guiding theme. Select which month you wish to have your profile included. January (National Mentoring Month) February (Black History Month) March (Social Work Month, Women's History Month) April (Children's Mental Health Day) May (Mental Health Month, Asian Pacific American Heritage Month, Older Americans Month, National Foster Care Month) June (Pride Month) July (Minority Mental Health Month) August (Graduating MFP Fellows) September (National Recovery Month, National Hispanic Heritage Month, Self-Care Awareness Month) October (LGBT History Month, World Mental Health Day) November (Native American Indian/Alaska Native Heritage Month) December (AIDS Awareness Month) Question Title * 11. Current project, publication, or achievement you wish to be highlighted (4-7 concise sentences) *please include any website links you make reference to here and write out any abbreviations. Question Title * 12. Are you currently receiving the monthly MFP Connect newsletter? Yes No I'm unsure Please enter your e-mail if you'd like to subscribe to the MFP newsletter. Question Title * 13. High-resolution headshot Upload a high resolution PNG, JPG, or JPEG file. JPEG, JPG, PNG file types only. Choose File No file chosen Remove File Upload a high resolution PNG, JPG, or JPEG file. Question Title * 14. Additional headshot choice A second option for headshot if needed. JPEG, JPG, PNG file types only. Choose File No file chosen Remove File A second option for headshot if needed. The information submitted in this form will be shared in the monthly MFP newsletter which is posted on the CSWE MFP website. Thank you for your submission. Sara Daneshmand will follow-up with you about your alumni profile in the newsletter.You may contact sdaneshmand@cswe.org for any feedback. 100% of survey complete. Finish
