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NYU Population Health Science Scholars Program Application

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Please complete the application and upload all necessary materials.

Contact PopulationHealthScienceScholarsProgram@nyulangone.org if you have questions.

NOTE: If you are unable to complete this form at one time, scroll to the bottom of this page and click the "Save and Return Later" button. You will be given a Validation Code, which you'll need in order to return and continue the application process. Please make sure to write down your Validation Code for future reference.

Applicant Level

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Pre-doctoral

Post-doctoral

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First Name

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Last Name

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eRA Commons Username (if applicable)

Birth Date

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M-D-Y

Highest Degree Earned
(The highest degree you have earned as of the date of this application. If you are in a doctoral program, please do not list your prospective doctoral degree.)

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Citizenship
To be eligible, you must be a United States citizen or a noncitizen national of the United States or have been lawfully admitted for permanent residence in the United States at the time of appointment.

Per the NIH, the individual to be trained must be a citizen or a noncitizen national of the United States or have been lawfully admitted for permanent residence by the time of award. Noncitizen nationals are individuals, who, although not citizens of the United States, owe permanent allegiance to the United States. They generally are people born in outlying possessions of the United States (e.g., American Samoa and Swains Island). Individuals who have been lawfully admitted for permanent residence must have a currently valid Permanent Resident Card (USCIS Form I-551) or other legal verification of such status. https://grants.nih.gov/grants/policy/nihgps/html5/section_11/11.2.2_eligibility.htm

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US Citizen

Noncitizen National of the US

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Preferred Email Address

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Preferred Phone Number

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Home Address

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Current School

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Current Academic Program

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Degree Sought (e.g. PhD, EdD)

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Matriculation Date (mm/yyyy)

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Your Bachelor's-Degree Granting Institution

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Comprehensive Exams Completed (mm/yyyy):

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How many publications have you authored?

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Of these, on how many were you the FIRST author?

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School

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Academic Program

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Degree Received

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Graduation Date (mm/yyyy)

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How many publications have you authored?

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Of these, on how many were you the FIRST author?

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Months of prior full time research experience

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Current Institution

Current Position

Department/Division

Current GPA

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Are you Hispanic (or Latino)?

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Yes

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What is your racial background?
(please check all that apply)

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American Indian/Alaska Native

African American

Asian

Hawaiian/Pacific Islander

White

Other

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To which gender identity do you most identify?

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Female

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Gender Variant/Non-Conforming

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Do you have a disability?

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Yes

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Are you from a disadvantaged background?

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Yes

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How did you first hear about our program?

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Curriculum Vitae

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Transcript from doctoral program

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Personal Statement (up to 3 pages; 11 point Arial font) describing:
o Background and research experience;
o Research plans for the program;
o How your work will apply to healthcare delivery science and population health; and
o Career plans

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The following is not required at time of initial application but will be required at time of interview -

A brief letter from your Program Director indicating that you are in good standing in the program and meet the following criteria:

o You are a citizen or a noncitizen national of the United States or have been lawfully admitted for permanent residence at the time of appointment.
o Completed the majority of PhD coursework and are expected to pass qualifying exam;
o Have a dissertation proposal, if not approved, then vetted;
o Have a primary research mentor identified; and
o Have a thesis committee established.

Please arrange to have this letter sent to PopulationHealthScienceScholarsProgram@nyulangone.org before the date of your interview.

Upload file

The following is not required at time of initial application but will be required further in the application/interview process:

A brief letter from your prospective Division Director or Chair indicating support for you if selected, including hiring if needed.

Please arrange to have this letter sent to PopulationHealthScienceScholarsProgram@nyulangone.org before the date of your interview.

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The following is not required at time of initial application but will be required at the time of interview -

A brief letter from your primary mentor clearly stating commitment to mentoring you on your proposed dissertation research.

Please arrange to have this letter sent to PopulationHealthScienceScholarsProgram@nyulangone.org before the date of your interview.

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The following is not required at time of initial application and is optional at the time of interview:

If applicable - a brief letter from your likely primary mentor clearly stating commitment to mentoring you on the proposed research.

If you'd like to include this in your application package, please arrange to have this letter sent to PopulationHealthScienceScholarsProgram@nyulangone.org before the date of your interview.

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Arrange for 3 letters of recommendation to be submitted under separate cover by the time of your interview. One letter should be from your current residency program director or supervisor of your current position.

Please arrange to have these letters sent to PopulationHealthScienceScholarsProgram@nyulangone.org before the date of your interview.

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