Potocsnak Longevity Institute (PLI) - Membership Application

Thank you for your interest in joining the Potocsnak Longevity Institute.

Membership is open to individuals affiliated with Northwestern who are engaged in research, training, or scholarly work related to healthy aging—including work in longevity, the biology of aging, or senescence. We welcome applicants who are committed to advancing our mission through research, collaboration, and active participation in Institute initiatives.

Eligible roles include faculty, non-faculty physicians, research associates, postdoctoral fellows, and medical residents.

Applications are reviewed on a rolling basis and may take up to 10 business days for approval.

Personal Information
Name Name First Last
Email
Northwestern Affiliation
Please confirm that you are affiliated with Northwestern.

Please confirm that you are affiliated with Northwestern. Yes
Role/Position Title
Professional Status

Professional Status Faculty Physician Research Associate Postdoctoral Fellow Medical Resident Other Other

Understanding your professional role allows us to categorize members for targeted communications, programming, and engagement opportunities tailored to your level of experience and area of focus.
Which Northwestern campus do you primarily work at?

Which Northwestern campus do you primarily work at? Chicago Evanston Other Other
Faculty Profile URL

Mark N/A if it does not apply.
NETID
ORCID

To better track the publication output of our members, we are collecting individual ORCID IDs from all Northwestern faculty and staff PLI members. If you do not yet have an ORCID ID, we kindly ask you to register for one online.

To enroll, please visit: https://orcid.it.northwestern.edu/
PLI Center Affilitation

Please indicate your primary and any secondary affiliations with the research centers within the Potocsnak Longevity Institute
Primary Center Affiliation

Primary Center Affiliation Aging & HIV Basic & Translational Biology Human Longevity Lab Nanoscience & Aging Population Science & Aging

Select your primary center within the Potocsnak Longevity Institute based on your main area of collaboration, education, or research. This primary affiliation is required to display PLI on your Feinberg faculty profile.
Secondary Center Affiliation(s)

Secondary Center Affiliation(s) Aging & HIV Basic & Translational Biology Human Longevity Lab Nanoscience & Aging Population Science & Aging None

Choose as many secondary centers as appropriate based on your areas of interest. You will be listed on the Center website as a member and receive all center communications.
Research Focus

Help us understand your involvement in aging-related work.
Please provide a brief statement (2–3 sentences) describing your research, training, or scholarly work related to healthy aging, including any relevant work in longevity or the biology of aging.

This helps us confirm alignment with the Institute’s mission and understand the focus of your work so we can better connect you with relevant programs, resources, and opportunities.
Mailing List Preferences

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Would you like to subscribe to our mailing list?

Would you like to subscribe to our mailing list? Yes No

Potocsnak Longevity Institute (PLI) - Membership Application

Potocsnak Longevity Institute (PLI) - Membership Application

Personal Information

Northwestern Affiliation

PLI Center Affilitation

Research Focus

Mailing List Preferences