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Stanford School of Medicine »
Stanford Prevention Research Center Fellowship Application
Research Fellowship Program in Cardiovascular Disease Prevention for the Academic Year 2017-2018.
Address Line 2
Type of Degree(s) Earned and Year(s) Obtained or Expected to Obtain
Institution(s) Name Where You Obtained Degree(s)
Principal Mentor/Advisor(s) Name
Thesis Topic or Title of Research Project
Institution Name Where Residency Training Was Received
Country of Citizenship
If you are not a U.S. citizen, are you a permanent resident?
Racial/Ethnic Self-Description (Voluntary: if you choose to answer this question, it will not interfere with the processing of your application; this information is used solely for reporting aggregate recruitment experience to the National Institutes of Health).
American Indian or Alaskan Native
Native Hawaiian or Other Pacific Islander
Physicians only: Please list the states in which you are licensed.
National and State Board Examinations (Please list dates and results)
How did you hear about the SPRC Training Program?
Please attach your curriculum vitae, listing all academic degrees beginning with the Bachelor's degree. Include medical degree (if applicable) and postgraduate work (including internships, residencies, and postdoctoral fellowships with dates and names of hospitals and schools).
Statement of professional plans, investigative interests, and goals for your training at Stanford. The average length of this section is expected to be the equivalent of 2-3 single-spaced pages.
Please list Stanford faculty with whom you would prefer to meet if invited for an interview. Please select from the list of faculty accepting fellows at http://prevention.stanford.edu/education/fellowship/.
Please list your three references, names only, then have the recommenders email their letters directly to the fellowship coordinator at "email@example.com". The letters need to be received by November 15.
Stanford School of Medicine