Frontiers in Alzheimer’s and Aging Research Registration – Pittsburgh Development Center

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Frontiers in Alzheimer’s and Aging Research
Application Deadline: May 17, 2022

Registration

REGISTRATION INFORMATION

Name *

First

Last

E-mail *

Are you a Permanent Resident of the U.S.? *

Yes
No

If no, Citizenship

MAILING ADDRESS:

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

CURRENT ACADEMIC INFORMATION

Academic Institution *

How did you learn about this course? *

What type of student *

Senior student
Junior student

Expected degree *

Degree year *

ADDITIONAL INFORMATION

If you are a member of an under-represented minority in science, please indicate below: (for U.S. Citizens and Permanent Residents only):

African American
Hispanic
Native American
Native Hawaiian or Other US Pacific Islander
Multi Racial

If Multi Racial, please specify:

Gender *

Male
Female

Do you have a physical or mental impairment that substantially limits one or more major life activities?

No
Yes

FINANCIAL AID INFORMATION

Full financial assistance is available for participants in this course, including non-U.S. citizens who hold proper visas. Scholarships are awarded on the basis of need. Scholarship requests are not a factor in admissions decisions.

If applicable, please describe any financial considerations associated with your participation in this course:

REQUIRED SUPPORTING DOCUMENTATION

A copy of your current resume.
A copy of your college transcript.
A brief statement of your reasons for wanting to take this course and respond to these questions:
1. Outline your background in MSTEM, including courses taken.
2. What experience, if any, have you had with research?
3. Are you currently involved in any research projects? If so, please specify.
4. Please list and describe all volunteerships and leadership roles.
5. What specific plans do you have after completing the course? Please describe your academic, career and research goals.

Current Resume

Click or drag a file to this area to upload.

Allowed Formats: .pdf, .doc, .docx

College Transcript

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Allowed Formats: .pdf, .doc, .docx

Brief Statement/Questions

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Allowed Formats: .pdf, .doc, .docx

EVALUATIONS

Applicants should request two (2) written letters of recommendations from two individuals familiar with their academic research, leadership background and goals. Evaluations may be submitted with other application materials by the candidate or sent directly to the MWRI/PDC Admissions Office, frontiers@mwri.magee.edu, by the evaluator by deadline listed above.

Evaluation 1

Click or drag a file to this area to upload.

Allowed Formats: .pdf, .doc, .docx

Evaluation 2

Click or drag a file to this area to upload.

Allowed Formats: .pdf, .doc, .docx

Phone

THE PITTSBURGH DEVELOPMENT CENTER

204 Craft Ave, Pittsburgh, PA 15213 | 412-641-2400 | frontiers@mwri.magee.edu