Mentor Signatures
Applicants for Trainee Status in the Society for the Study of Reproduction must provide a signature from their mentor or major professor attesting to their trainee status in order to qualify for discounts and special benefits. You may print this page and return it, signed, to the Society.
Name of trainee (please write clearly)
Name of supervisor (please write clearly)
Position of supervisor (please write clearly)
I certify that the above-named trainee is indeed a trainee under my supervision.
Signature
Please fax or mail this to:
Society for the Study of Reproduction
Trainee Membership
1619 Monroe Street
Madison, WI 53711-2063
Fax: (608) 256-4610