Morris Green Physician Scientist Development Program Application Form

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Residents

Complete the Morris Green Physician Scientist Development Program (MGPSDP) application and submit to Melissa Bales at melbales@iu.edu.
Attach a letter of recommendation from a research mentor (if not already in ERAS)
Note your interest in the program when completing the ERAS application

Fellows

Apply to pediatric fellowship programs via ERAS (if not already matriculated)
Complete the MGPSDP application and submit the following to Melissa Bales at melbales@iu.edu
Attach the following:

Letter of commitment from the fellowship director
Letter of recommendation from your principal research mentor
Letter of reference from a prior research mentor (optional)
Personal statement summarizing the proposed research project and career goals (1-2 pages)
NIH Biosketch or CV
One peer-reviewed publication (if available)

Name

First * Last * Email * Date * Degrees *

Where does research rank in your career development? * Highly Somewhat Undecided

Curriculum Vitae or NIH Biosketch *

Please attach an updated curriculum vitae or NIH biosketch with publications.

What area would you like to develop in your career? *

What do you want to do with this training? *

Research Reference(s) *

Please have a letter of reference from your research mentor sent to Peds Education, if not included with your ERAS file.

Morris Green Physician Scientist Development Program Application Form

Residents

Fellows

Name

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