Kimberly Querrey Fellowship in Data Science Application Form

The Simpson Querrey Fellowship in Data Science supports a postdoctoral fellow with an extraordinary track record of productivity during their graduate training who seeks to leverage innovations in data science to advance discovery broadly in the field of lung disease. More information including eligibility criteria can be found at https://www.feinberg.northwestern.edu/sites/sqlifts/programs/simpson-querrey-fellowship.html

Name Name First Last
Email
Citizenship and Immigration Status
Please check one:

Citizenship and Immigration Status
Please check one: I am a US Citizen or Permanent Resident I posses a valid Employment Authorization Document (Please email a copy of the front and back of your EAD card to Sean Campbell at seancampbell@northwestern.edu). Other - (Please email copies of your visa documents, visa stamps, and a list of your immigration history (visa start date and end date, visa type, and sponsor) to Sean Campbell at seancampbell@northwestern.edu).
Highest Degree (Check all that apply)

Highest Degree (Check all that apply) MD PhD DVM ScD Other Other
Please enter the date your doctoral degree was awarded. Please enter the date your doctoral degree was awarded. / MM / DD YYYY
Are you currently or have you ever been a principal investigator on an NIH K or R series research award or other nationally competitive research award at a comparable level?

Are you currently or have you ever been a principal investigator on an NIH K or R series research award or other nationally competitive research award at a comparable level? No Yes - NIH K or R series Yes - but not an NIH K or R series (list the award below)
Please write a brief summary of prior research experience (1-2 paragraphs)
Do you currently or have you ever had a relationship with the tobacco industry, as described in the American Thoracic Society (ATS) guidelines?

Do you currently or have you ever had a relationship with the tobacco industry, as described in the American Thoracic Society (ATS) guidelines? Yes No
Please convert all files to PDF format. Please name your files using the following format:

FIRST NAME LAST NAME-CV.pdf or FIRST NAME LAST NAME-BIOSKETCH.pdf
FIRST NAME LAST NAME-STATEMENT.pdf
FIRST NAME LAST NAME-RESEARCH.pdf

So if your name is Willie Edward Wildcat, you will upload the following files named:

Willie Wildcat-CV.pdf
Willie Wildcat-Statement.pdf
Willie Wildcat-Research.pdf

This name should match the name you listed at the top of this form.
Please upload your current Personal Statement.

Attach Files
Please upload your current CV or Biosketch.

Attach Files
Please upload a summary of proposed research (limit 1 page).

Attach Files