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GmUAvKPLNHuWXxV4xwgcvNKwpzI9ABw2ABfNIj8eFbUZzuZJgeKSdmtd89Bd6Pr7dIVe3EhbugNnS

myHub URBEST Application Form

myHub URBEST Application

Dear Health Science/Biomedical PhD Graduate Student or Postdoctoral Affiliate,

Welcome to the application process for the URBEST Porgram. Please complete the URBEST Program Application to be considered for enrollment into the program. If you have any questions, please feel free to reach out to us at myHub@URMC.Rochester.edu.

Best,

Elaine Smolock & Eric Vaughn

UR ID

* must provide value

First Name

* must provide value

Last Name

* must provide value

UR Email Address

* must provide value

Telephone (xxx) xxx-xxxx

* must provide value

Trainee Type

* must provide value

Trainee Type Other

How many years have you been in your current position?

* must provide value

one year

two years

three years

four years

five years

greater than five years

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To which gender identity do you most identify?

Female

Male

Transfemale/Transwoman/MTF

Transmale/Transman/FTM

Genderqueer/gender diverse

Not listed. Please indicate your gender:______________________

Prefer Not to Answer

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Not listed. Please indicate your gender:

Expand

Under-Represented Group (URG) status. Under-Represented Group (URG) is defined as...
a. Black or African American, Hispanic or Latino, American Indian or Alaska Native, Native Hawaiian and other Pacific Islander
b. Individuals with disabilities, who are defined as those with a physical or mental impairment that substantially limits one or more major life activities
c. Individuals from disadvantaged backgrounds

(https://grants.nih.gov/grants/guide/notice-files/NOT-OD-20-031.html)

I prefer not to answer

I am considered a URG

I am not considered a URG

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Advisor's First Name

* must provide value

Advisor's Last Name

* must provide value

When you began graduate school, your primary career goal was:

* must provide value

not determined

tenure track faculty (PI)

other academic research

other academic teaching

industrial research

government research lab

science policy in government

entrepreneurship/start-up

communication (eg. science writing, outreach)

non-profit

law

consulting

other

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You responded other. Please provide a description of your career goal here:

* must provide value

Right now, your primary career goal is:

* must provide value

not determined

tenure track faculty (PI)

other academic research

other academic teaching

industrial research

government research lab

science policy in government

entrepreneurship/start-up

communication (eg. science writing, outreach)

non-profit

law

consulting

other

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You responded other. Please provide a description of your career goal here:

You anticipate actively seeking your next position:

* must provide value

>12 months from now

in 6-12 months

within 3-6 months

already looking

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You know where to look for jobs in your desired field:

* must provide value

Yes

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Have you used any of these professional development services? You may check more than one.

* must provide value

Center for Professional Development (CPD)

Graduate Education and Postdoctoral Affairs (including GSS and PDA) offerings

CIRTL/CETL offerings

Formal coursework related to professional development

Future Faculty workshops

Graduate Women in Science offerings

You have a collaborator or mentor in your desired field who is not your PI:

* must provide value

Yes

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Informally, what is your motivation for applying for the BEST program and how do you envision BEST will help you to develop as a scientist?

* must provide value

Your PI (advisor) is supportive of your participation in the BEST Program.

* must provide value

Yes

I don't know. I haven't asked them.

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Which BEST Program Track interests you the most?

URBEST Pathway Track Information: https://www.urmc.rochester.edu/education/graduate/best-program/training-pathways.aspx

* must provide value

Industry, (Bio)Manufacturing and Entrepreneurship

Regulatory Affairs, Compliance and Review

Science and Technology Policy

Science Communication and Outreach

Teaching and Education Policy

Data Science

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Which BEST Program Track is your second choice?

URBEST Pathway Track Information: https://www.urmc.rochester.edu/education/graduate/best-program/training-pathways.aspx

* must provide value

Industry, (Bio)Manufacturing and Entrepreneurship

Regulatory Affairs, Compliance and Review

Science and Technology Policy

Science Communication and Outreach

Teaching and Education Policy

Data Science

I am only interested in the one URBEST Program Track that I indicated above

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To help guide us in developing responsive programming, which one activity would you likely find helpful and participate in as part of the BEST Program?

* must provide value

panel discussion

career story/scientific seminars by speakers outside of academia

a course to create/flesh out your individual development plan

networking event to meet other URBEST participants interested in my career aspiration

hands-on workshop

experiential opportunity

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Which activity would be your second choice?

* must provide value

panel discussion

career story stories by alumni

scientific seminars by speakers outside of academia

a course to create/flesh out your individual development plan

networking event to meet other URBEST participants interested in my career aspiration

hands-on workshop

experiential opportunity

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Beyond sampling the career tracks, you are interested in experiential opportunities, such as a long-term internship, a short-term internship or a shadowing experience. You would be able to commit to:

* must provide value

a long-term internship (about 3 months full time)

a short-term internship (about 1 month full time or about 3 months for a few hours a week)

a shadowing experience (a few hours a week)

no interest in internships or shadowing experiences

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You have your advisor's approval for the above commitment:

* must provide value

yes

no, I have not yet discussed the possibility with them

no, but I can participate anyway on my own time

I need help convincing them

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You have an idea for a more in-depth BEST Program experiential opportunity and are ready to describe your motivation and scope of work.

* must provide value

yes

not quite yet

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You agree to participate fully in long-term tracking of your participation in career offerings and your career outcome. This will entail annual tracking by the NIH via email surveys for 15 years. IF YOUR RESPONSE IS NO, you will not be invited to participate in URBEST.

* must provide value

Yes

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Do you have a prepared CV?

* must provide value

Yes

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Upload CV/Resume

* must provide value

Upload file

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