MSSU Scientists Application Form

MSSU Scientific Membership

Scientists Application Form

There are two categories of scientific membership: Associate Scientist (University) and Affiliate Scientist (non-University).
Successful applicants will be offered the Associate Scientist or Affiliate Scientist designation based on which eligibility criteria they meet.

Applications are typically processed within 7-10 business days.

If you require assistance or have any questions, please contact Sharon Skaling at Sharon.Skaling@nshealth.ca

Name

First Last

Pronouns

University or Institution Name

Mailing Address (University or Institution)

Street Address Address Line 2 City Province Postal Code

Office Phone

Main Position (Title/Institution)

Cross-Appointments (Title, Institution)

Academic Degrees

Areas of Research

Please provide a brief explanation of your engagement and any training in Patient-Oriented Research.

Current Partnerships with Community Organizations

Are you interested in MSSU mentorship opportunities? (mentor)

Current CV including list of publications, grants, and other evidence of patient-oriented research activity for the last five years.

Drop files here or

Max. file size: 50 MB.

Profile Picture (JPG, JPEG, PNG)

Max. file size: 50 MB.

Date

CAPTCHA

This form was modified from the Beatrice Hunter Cancer Research Institute.