Anatomy Support Team Coach Interest Form

Anatomy Support Team Coach Interest Form

Please complete this form if you are interested in serving as a coach for HAPS members relating to gross anatomy labs and/or dissection.
Name*

First NameLast Name
Email*
example@example.com
Institution/School*
City and State*
What programs/levels do you teach? Select all that apply.*

High SchoolUndergraduateGraduateNursing (Undergraduate or Graduate)Professional - MedicineProfessional - DentalProfessional - PA/PT/OT/Health Sciences/Allied HealthOther
Areas of coaching you are interested in. Please see description below and select all that apply:*

Human Dissection-Based CoachingAnimal Dissection-Based CoachingHuman Prosection-Based CoachingDonor Preservation SpecialistLab Design SpecialistOther
Would you like to request a specific Coachee?
Dissection/Prosection-Based Coaching
- Virtual/In-Person Coaching (1:1)
- Anatomical Regional Specialists
Lab Design Specialist
- Includes suggestions on AV equipment, environmental controls, HVACs, what tools are needed/suggested
Donor Preservation Specialists
- Includes embalming styles, plastination, wetting solutions, mold treatments, speciment storage/maintenance.
Hosting a Dissection-Based Workshop
- Please contact Kelsey Stevens (ADS Chair) at kstevens@hapsconnect.org or Jeremy Grachan (ADS Support Team Sub-Committee Chair) at jgrachan@hapsconnect.org" for more information about hosting a dissection workshop.
Should be Empty: