Formularz rekrutacyjny HMS Agencja Badań Medycznych

Candidate Recruitment Form - The Harvard Medical School's Polish Clinical Scholars Research Training program

Remember that the form must be completed in ENGLISH.
Provide up-to-date contact details that will allow us to contact you. Avoid giving details to the secretariat or registration office - in such a situation we may have a problem with contacting you.
When filling out the form, do not use semicolons (;) if you want to include more information in the form, use commas (,).
If you copy/paste information from another document, check that everything has been copy/paste correctly.

Basic Information Name *

Surname *

Date of Birth DD-MM-YYYY *

Contact information Telephone number *

Email Address *

Professional Career University or Institution Attended *

The name of the University or Institution you graduated from.

Highest degree earned *

Scientific degree held e.g. Doctor (PhD), Assistant Professor, Professor

Professional Title *

The title you received after graduating from the university e.g. MD (lekarz), PharmD (magister farmacji), Master of biotechnology (magister biotechnologii)

Current Employer *

Current position/title *

Your position at your current employer e.g. Head of the Cardiology Department, Diagnostician in the Genetic Laboratory, Lecturer in the Oncology Department

Professional experience 1/3 *

Describe your professional experience - present your professional achievements, indicate where you were employed. You have maximum 3000 characters.

Professional experience 2/3

Professional experience 3/3.

Scientific achievements Scientific experience 1/3 *

Describe your scientific experience - indicate what research areas are among your interests. You have maximum 3000 characters.

Scientific experience 2/3

Scientific experience 3/3

List of publications, presentations and/or awards *

Choose and submit up to a 5 of your most influential publications. Attach the full list of publications in the further part of the form.

Summary

You can summarize your candidacy here. You have 1000 characters.

Skills Language proficiency *

Completed courses and certificates held

Attachments Attach full list of publications *

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pdf

Verification

I declare that I am not a citizen of the United States of America and I am not covered by any educational programs run by the United States government. *

Yes

I have read the content of the information clause regarding the processing of personal data. *

Yes

Information Clause

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Agencja Badań Medycznych Formularz rekrutacyjny HMS

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