Please fill out the following form to express your interest in becoming a CS&E participant.
If you have already contacted the CS&E Executive Team, please include the name of the person whom you contacted. Otherwise, you will be contacted to discuss your interest in the program.
Can you suggest a colleague to attend the CS&E course with you?
You must have a team to support your project.
Teams require: physician, nurse, pharmacist, etc.
Additional Contact Information
Assistant to Department Head/Chair: