Clinical Research Fellow Practice Application
  1. Please complete the entire application and submit by the extended deadline of September 15, 2014. Contact practice@ppcr.hms.harvard.edu with any questions. Please note that all documents must be in English to be accepted.
  2. First Name(*)
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  3. Last Name(*)
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  4. Nationality(*)
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  5. Medical School(*)
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  6. Year of Graduation(*)
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  7. Address(*)
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  8. City(*)
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  9. State(*)
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  10. Country(*)
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  11. Zip Code(*)
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  12. Email(*)
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  13. Telephone Number(*)
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  14. Below, please choose which labs you would prefer to be paired with:


  15. 1st Choice(*)
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  16. 2nd Choice(*)
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  17. 3rd Choice(*)
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  18. Please upload every supporting document as a PDF file, name every file with a number that matches the numbers listed on the application instructions (e.g. 1. Two Faculty letters of recommendation, you should upload a PDF file named “Name of Applicant_1” such as “JenniferSchadler_1”, without spaces in the name of the file, and that file has to contain the letters of recommendation), all (*) fields are mandatory.

  19. Two Faculty Letters of Recommendation(*)
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  20. Medical School Transcript(*)
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  21. Medical Diploma (or Proof of Enrollment)(*)
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  22. Curriculum Vitae(*)
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  23. Brief Personal Statement (max 500 words)(*)
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