UCI P30 Skin Center External Faculty Membership Application

UCI P30 Skin Center External Faculty Membership Application

Thank you for your interest in being an external faculty member of the UCI Skin P30 center.

Kindly provide us with a copy of your biosketch, let us know what core you are interested in using and if there is anyone at UCI you'd like to collaborate with. If you have any questions about the form or the questionnaire, please contact Rachelle Narvas at manzanor@uci.edu.

Name*

Best Contact Email*

Please list your Home Institution here:*

Please indicate your Academic Rank:

Select or enter value

What is your Position:*

Core Resources:

Which of the UCI P30 Skin Center cores would you be likely to use (can choose multiple)

Select or enter value

Name of UCI Collaborator(s):

Biosketch Upload Instructions:*

If you are having issues uploading your photo, short bio, or CV, please email the files directly to Rachelle Narvas at manzanor@uci.edu

Drag and drop files here or

Any Comments?

If you are interested in having a copy of your submission, please check the box below. Once selected, you will be prompted to input the best email contact.

After providing the best email contact, please proceed to submit.

Send me a copy of my responses

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