The code block below illustrates how one might use # and // as comments in your logic and calculations.

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Required format:

KvBjoB5XQ6f79Ri4EDqVfUX6gYXbmzbZZnUaFihQGHnLwFFnyF9DMjC429xZz2RiSIYaqpmUajSPThIacdddVhhefPGXqNGpfZTTV4Rtup

ASPIRE Application

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IMPORTANT: Prior to completing the application, schedule a meeting with Rich Frankel & Ann Cottingham to discuss your interests and application. This is required prior to submitting an application. To schedule, please contact Sarah Roth (samroth@regenstrief.org)

All of the required application materials can be submitted below.

The application deadline is March 1, 2024, and selected Scholars will be announced in late March.

Thank you!

Name:

* must provide value

Email:

* must provide value

Title:

* must provide value

Department:

* must provide value

Please list all specialties (Internal medicine, palliative medicine, pediatrics, geriatrics, hospitalist, etc.):

Type of Practice (Please check all answers that apply)

Hospital

Non-hospital

Public

Private

Years/months of formal education in healthcare research prior to ASPIRE

<3 months

3-6 months

7 months - <1 year

1-2 years

3-4 years

>5 years

reset

Gender

Male

Female

Non-binary / third gender

Prefer not to say

Current Age:
(optional)

Please provide a letter of interest describing how participation in the program fits your career goals and what you hope to achieve from participating in the program. (You may upload a file here, or type into the text box below).

Upload file

Letter of Interest (if not uploaded in previous field):

Expand

Please upload your CV here:

* must provide value

Upload file

Please submit a description of research topics you are interested in pursuing and preferred research methods, if any.

Expand

Or upload here:

Upload file

Please submit a letter of support from your supervisor, division chief or chair that acknowledges the 18 month, 15 percent time commitment for the program. The letter should include an agreement that covered time for the program will be available based on scholar research and program needs, including time for biweekly half-day meetings, and an assurance of return to full or part-time work following the program.

* must provide value

Upload file

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ASPIRE Application

Applicant Details

Letter of Interest & CV

Scholarly Project Description:

Letter of Support

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