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*If chosen, you will have to commit to a three day intensive training (March 24th-26th) and attendance is mandatory. This program is purposefully intensive and designed to push you outside of your comfort zone. If you have questions, please feel free to reach out to Jill Guenther for more information. Please make sure you answer each question thoroughly.

Name(Required)
In 1-2 paragraphs, please express why specifically you are interested in obtaining this specialty certification. Please also include how you will utilize the Learning Mantras if you get chosen to participate in this 3 day course.
Please provide specific information on how you will utilize your new knowledge for leading programs and/or team members if you are to obtain this NRS TBI certification.
Name 2 residents you work with that you hope to gain more insight on from learning about TBI’s. What do you hope to learn?
Acknowledgement(Required)