MEG Orientation Training Request

Item

Requester’s Last Name:	Last Name
Requester’s First Name:	First Name
Today’s Date:	date
Requester’s Email:	Email
Office Phone:	Office Phone
Cell Phone:	Cell Phone
Protocol#:	Protocol#
PI Last Name:	PI Last Name
When will your MEG Protocol start (approx.):	date (((for template/What will be your role?|label-What will be your role?|/multiple))) MEG Lead:|{{{field|1|size=15))) MEG Second:|{{{field|1|size=15))) Scheduling MEGs|{{{field|1|size=15))) Other(explain)|{{{field|1|size=55))) Explain:	free text

{{{end template}}}

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