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Johns Hopkins Internship in Brain Sciences Update

This survey will allow us to update information on your current status after your JHIBS experience. Thank you!

Q.1



Q.2
Please enter your highest degree of education and your intended highest degree of education. *

Q.3
Your Preferred Email Address *

Q.4
Your Preferred Phone Number *

Q.5
Preferred mode of contact. If not through phone number or email, please provide necessary information. (LinkedIn, Facebook, Twitter, Google+, etc.) *

Q.6
Current Address *






Q.7
Permanent Address (If different from local; a sure means of contact ex. parent/guardian address)






Q.8
Your self-reported racial background/ethnicity.

We understand that this can often be a controversial question. However, as per the grant that allows us to run this program, the NIH would like to know if there is success in stimulating the underrepresented population.

The following choices are taken directly from the Association of American Medical Colleges. Feel free to look more into the numbers by visiting: https://www.aamc.org/data/facts/applicantmatriculant/.

Q.9
Your citizenship status *

Q.10
Any awards, honors, or scholarships earned

Q.11
If you are in the work force, where are you employed, and what is your job description? If not, write N/A. *

Q.12
If you are in college, where are you attending? What is your college major/minor? If you are not an undergraduate, write N/A. *

Q.13
If you are in graduate or professional school, where are you attending? What are you studying? Write N/A if this does not apply. *

Q.14
What is your intended career path? *

Q.15
For any additional comments on where you are standing right now or the impact of JHIBS on you, please explain here. Also, let us know here if you need any resources, networking opportunities, and other information for your use.

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