UW LEND Program
Leadership Education in Neurodevelopmental and Related Disabilities
 
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Registration


UW LEND Fellows must complete the registration requirements for the UW LEND Program.

In-Residence UW  LEND Fellow: complete Sections 1 and 2.  Finalize the registration

Community- Based/Distance UW LEND Fellow: complete Section 1 and 3. Finalize the registration

There may be some individual exceptions, if so the Fellow will be informed by their mentor.


Section 1

  • UW LEND Orientation
    Attend and participate in the UW LEND Orientation.

  • Fellow Registration
    Complete the UCEDD Fellow Registration Form and submit online.

  • Fellow Profile
    Complete the UW LEND Fellow Profile Worksheet and email or return a hardcopy to
    Nancy Saunders
    , rm CD 422.

  • Fellow Photograph
    Make an appointment with Nancy Saunders (206.221.6525) to have your photograph taken. Your photo will be added to your UW LEND Fellow Profile.

  • Release of Information
    Complete UW-CHDD Release of Information Form and email or return a hardcopy to
    Nancy Saunders
    , rm CD 422.

  • Personal Contact
    Complete the Personal Contact Form and email or return a hardcopy to Nancy Saunders, rm CD 422. This information is confidential for emergency contact and for UW LEND tracking.

  • UW NetID and Email
    Create a UW NetID and open an email account. You will need a UW NetID to connect to UW services, access your ePortfolio, and other electronic activities during your UW LEND training. If you are not eligible to create a UW NetID, please contact Nancy Saunders.

  • UWMC ID Badge or Approved Nametag
    All fellows must wear either a UWMC ID badge or other approved nametag while engaged in CHDD clinic activities.
    1. Email Gretchen Glass your UW Student ID# , UW Employee ID#, or social security number. Gretchen will contact UWMC Security on your behalf to start the process for obtaining a UWMC ID badge.
    2. You may obtain your UWMC ID Badge within 24 hours of Gretchen’s email. The UWMC Security Office is located at UWMC room BB120 (Ph: 206.598.4907).
      **Bring piece of photo ID (driver’s license)**

  • UWMC Professional Image Policy
    Read the UWMC Professional Image Policy

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Section 2 These requirements must be completed within the first 30 days following the UW LEND Orientation.

Return documentation indicating completion to Nancy Saunders, rm CD 422.

  • TB Test
    Provide documentation of TB test within the calendar year. If you need a current TB Test:

    UWMC Employee Health Center
    UW Hospital NE-210
    8am – 5pm
    206-598-4848

  • Integrity at Work Brochure
    Read this material, print and complete page 29. UWMC Integrity at Work brochure

  • Data Security Form
    Read the material, print, complete/sign/date the Data Security Form.
  • HIPAA
    Provide documentation of completion of UWMC HIPPA. If you need to complete the online UWMC HIPPA modules, contact Nancy Saunders for a login/password. This takes approximately one to two weeks to obtain.Visit the website included in the instructions with your login/password document and complete required modules.Print the confirmation/certificate page.

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Section 3

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Finalize the Registration

You have completed the registration requirements that apply to you. Now, complete the following final activities:

  1. Print the Registration Checklist, check off completed sections, sign and date. (replace current checklist with new one provided)

  2. Gather all forms as requested in the registrations sections above.

  3. Return all appropriate documents to:

    Nancy Saunders
    UW LEND Administrative Assistant
    Clinical Training Unit
    University of Washington
    CTU/CHDD, Box 357920
    Seattle, WA 98195-7920

    Phone: 206.221.6525
    Fax: 206.598.7815
    Office: Room CD 422

CONGRATULATIONS for completing the UW LEND Registration!

 
       

 
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Box 357920, Seattle, WA 98195-7920 | 206.685.1350 | Fax: 206.598.7815 | Updated: