We are always looking to forge partnerships and thrive on the exchange of new ideas.

Full Name

Email Address

Phone Number

Institution / Academic Affiliation

Program / Major (please specify whether high school, undergraduate, or graduate)

Anticipated graduation or program completion year

Anticipated Availability (please be as specific as possible by providing your desired start date, hours per week, and for how long you expect to be available)

Would the work you are interested in pursuing fulfill a requirement of a degree-granting program you are enrolled in (e.g., a Perelman School of Medicine student seeking a scholarly pursuit project, or a graduate student pursuing a rotation)?

YesNo

Are you able to work 100% remotely if necessary?

YesNo

If no, please explain how or whether the PAIR Center might facilitate remote work for you

Have you been in contact directly with any PAIR Center investigators about research opportunities to date?

YesNo

If yes, with whom?

Desired research areas, populations, or special topics of interest

Special qualifications, skills, or experience (e.g., qualitative methods, Stata, patient recruitment)

Do you identify with a racial or ethnic group underrepresented in health-related sciences (i.e., Black or African American, Hispanic or Latinx, American Indian or Alaska Native, Native Hawaiian or other Pacific Islander) or as someone from a disadvantaged background as defined by the National Institutes of Health:

https://extramural-diversity.nih.gov/diversity-matters/disadvantaged-backgrounds

YesNo

Anything else you would like us to know

Please upload a CV/Resume

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