Research Staff Excellence Award 2023
Due Friday, February 17, 2023
Basic Info
Name
*
First Name
Last Name
Email
*
example@bwh.harvard.edu
BWH Job Title
*
Department
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Please Select
Anesthesia
Dermatology
Emergency Medicine
Medicine
Neurology
Neruosurgery
Pediatric Newborn Medicine
OB/GYN
Orthopedic Surgery
Pathology
Physical Medicine and Rehabilitation
Psyhciatry
Radiation Oncology
Radiology
Surgery
Division
Gender
Woman
Man
Nonbinary/Genderqueer
Other
Prefer not to state
Ethnicity (Mark all that apply)
African American / Black
Asian
Hispanic or Latino
Native American/Alaska Native
Native Hawaiian/Pacific Islander
White
Other
Application Materials
Which track are you applying for?
*
Scientific Accomplishments
Administrative / Support Services
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Scientific Accomplishments: Please describe how you have contributed to research while in this role.
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Administrative/Support Services: Please describe how you have supported your department/division/lab group while in this role.
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Personal Statement (250 - 500 words). Statement should describe your interest in research as well as career plans and educational plans (if applicable) going forwards.
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Faculty Mentor Letter of Support (or can be emailed by mentor to BWHORC@partners.org)
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