ScholarRx Author and Editor Application Form
Application Date
*
Calendar Icon
Calendar
First Name
*
Last Name
*
Email Address
*
Country of Residence/Study
*
Affiliated Institution/Medical School
*
Education Level
*
Select or enter value
Caret Icon
Caret symbol
Professional Degree
*
Select or enter value
Caret Icon
Caret symbol
(Expected) Graduation Year
*
Additional Degrees (e.g. MPH, MBA, PhD)
Affiliated MeSAGE Organization
Select
Caret Icon
Caret symbol
Availability Period
*
Select
Caret Icon
Caret symbol
Available Hours Per Week
*
Select
Caret Icon
Caret symbol
Projects of Interest
*
Select
Caret Icon
Caret symbol
Previous Work for ScholarRx (add role)
Brief Statement Of Interest (50-250 Words)
*
Relevant Experience, namely in medical education, editing and writing in English (max 250 words)
*
Media Skills
Select
Caret Icon
Caret symbol
Did You Take Any of The USMLE Step Exams
*
Select or enter value
Caret Icon
Caret symbol
If Yes, What Is Your Step 1 Score? (Your Score Will Not Be Shared)
If Yes, What Is Your Step 2 CK Score? (Your Score Will Not Be Shared)
If Yes, What is Your Step 3 Score? (Your Score Will Not Be Shared)
Please Upload Your Updated CV Or Resume ( PDF Only)
*
Drag and drop files here or
browse files
Send me a copy of my responses
Submit
Powered by
Smartsheet Modern Logo On Light
Privacy Notice
|
Report Abuse