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Required format:

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Advanced Therapies Intensive - Sept 2022: Application

Please complete the application to the Advanced Therapies Intensive on September 12th through September 16th, 2022 below.

Please block September 12-16, 2022 from 8-12pm EST in your calendar. Please extend the calendar block on Friday, September 16th to 12:30pm EST.

We'll be in touch once we've reviewed your application.

Full Name

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Email Address

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Current Position

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Current Department

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Participants must be able to attend sessions on Monday, September 12th through Friday, September 16th from 8am to 12pm EST; the session on Friday, September 16th will extend by 30 minutes.

Please confirm that you can commit to full attendance and are able to complete assignments (which will consist of pre-readings) in advance of synchronous sessions.

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Please upload your CV.

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Upload file

Please upload a 5-minute elevator pitch briefly introducing yourself, describing your background, why you are interested in this intensive, and how you believe it will further your learning and career goals by copy-pasting this link into your browser to upload your elevator pitch:

https://upenn.app.box.com/f/c1f8e58cf44c468fb0722b7b8caba11e

Once file is uploaded into Penn Box, add "done" in the text box here.

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If your application is successful, we will share your elevator pitch with the instructors of the intensive and your peers so they can get to know you in advance of September 12th. If you would not like us to share your elevator pitch, please let us know why you would not like your elevator pitch shared.

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Voluntary Information

The University of Pennsylvania values diversity and seeks talented students, faculty and staff from diverse backgrounds. The Institution does not discriminate on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status or any other legally protected class status in the administration of its admissions, financial aid, educational or athletic programs, or other University-administered programs or in its employment practices.

The information requested below is voluntary and used for Institutional and Federal reporting purposes.

How do you identify your sex?

Female

Male

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Other

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How do you identify your sex?

Are you Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)?

Yes

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Please check the groups below in which you consider yourself to be a member:

American Indian or Alaskan Native (a person having origins in any of the original peoples of North and South America (including Central America) who maintains cultural identification through tribal affiliation or community attachment)

Asian (a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)

Black or African American (a person having origins in any of the black racial groups of Africa)

Native American or Other Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)

White (a person having origins in any of the original peoples of Europe, the Middle East, or North Africa)

Have a disability (a physical or mental impairment that substantially limits one or more major life activities):

Yes

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Come from a socially/culturally/educationally disadvantaged background

Yes

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