BCHSI Talent Intake Form

About You

First Name

Last Name

Email Address

Please Check:

Are You considered among the individuals designated by NIH as Underrepresented Populations in the U.S. Biomedical, Clinical, Behavioral and Social Sciences Research Enterprise. Details here > https://grants.nih.gov/grants/guide/notice-files/NOT-OD-20-031.html

Brief statement of interest (100 words max):

Please share with us any specific areas of interest

Skills

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Knowledge

[Drop down] Select level of familiarity – Introductory, Intermediate, Advanced

Biology

Machine Learning

Statistics

Education

Select highest level completed

Education

High School

Undergraduate

Graduate/Professional school (MS, PhD, MBA, MD, etc)

Current Status

[Drop down] Select best characterization

Current Status

CV Upload

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CV - File Attachment

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Send me a copy of my responses

﻿BCHSI Talent Intake Form