New Cancer Biology Trainer Application

Name:

First Last

Email:

Phone:

Lab Website:

Number of years as UW Faculty:

Faculty Rank:

Upload your biosketch or CV and other funding support document(s):

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Max. file size: 24 MB.

Home Department:

Campus Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Research Interests

Summarize your research interests in a short paragraph:

Provide a 5-10 word research description:

Student Training History (if applicable)

List any other UW Graduate Programs as well as NIH T32 Training Grants you are affiliated with & your formal responsibilities:

Graduate Program Name	T32 Name

List your previous service work and participation related to graduate training from the past 5 years (i.e. student thesis committees, program committees, recruiting & orientation activities, etc.):

List all current and previous graduate students who have trained in your lab (for longer than a rotation) from the past five years:

Trainee's Name	Graduate Program	Training Period and Degree Received	Former Trainee's Current Professional Position

List all current and previous postdocs who have trained in your lab from the past 5 years:

Postdoc's Name	Year of PhD & Institution	Training Period	Former Postdoc's Current Professional Position

List publications of your graduate students from the past 5 years:

Graduate Student's Name	Publication Citation

Provide a list of awards students or postdocs have received as a result of your training in your lab:

Trainee Name	Award

Training Plan

Describe one (or more) potential dissertation project(s) for a Cancer Biology PhD student in your lab:

Please provide a one-page description of your training plan (i.e. group meetings, individual weekly meetings, conference attendance, and interactions with other labs, etc.):

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Email

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Cancer Biology_Program Trainer Application

Research Interests

Student Training History (if applicable)

Training Plan