Application for ACC Clinical Trials Research for Women: Upping Your Game
 
Dear Applicant,
​
​Thank you for your interest in the ACC program Clinical Trials Research: Upping Your Game. 

A complete application requires the following three items:

1. Submission of a completed online application (questions below)

2. A 250-word statement of support from division chief, practice/service line leader or other supervisor.

The statement should address how the nominee will benefit from attending the Clinical Trials Research: Upping Your Game program, and how he/she considers this will alter the applicant’s career trajectory.

3. Your current curriculum vitae

Please send your CV and statement of support to diversity@acc.org with the term Upping Your Game Application in the subject line by February 28, 2019.

Please submit your completed online application by February 28, 2019.

Only completed applications received by February 28, 2019 will be considered.

As a reminder the eligibility criteria are below:

Eligibility Qualifications: ACC members meeting the following qualifications are invited to apply for the session Clinical Trials Research: Upping Your Game.

• Women cardiologists who have completed CV specialty training before 2017

• Current ACC member

• Clinical research experience

• Participated in the ACC in the previous twelve months (*including, but not limited to, the Annual Scientific Session, ACC educational course(s), ACC's Legislative Conference, ACC Member Sections, Councils, Committees, etc.).

Please send any questions about the application process to diversity@acc.org.

Thank you!

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1.
Applicant Information (please respond to all four questions below): *

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2.
Confirming Eligibility Criteria: *

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I am an ACC member:
I am a woman cardiologist:
 

3. Please briefly describe your recent participation in an ACC activity within the past 12 months (participation in Annual Scientific Session, ACC educational course(s), ACC's Legislative Conference, ACC Committee, Chapter or Section service, etc.). *

 

4.
Applicant's Institution Detail: *

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5. Applicant Training Information:

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6. Primary Focus: (check all that apply) *

 

7. Current and previous clinical research experience, if any (for example: Patient referral, Site PI or co PI, membership on DSMB or Events committee, Steering/executive committee, PI etc) (can refer to CV)
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8. Statement of Interest:
Please describe goals in clinical research and how attending
Clinical Trials Research: Upping Your Game will help achieve these goals.

250 word statement requested.


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9. Please identify who will be submitting  your statement of support:


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ACC requests information from its members (and this program's applicants) on ethnicity and race as part of the College’s aim to develop a more diverse and inclusive cardiovascular workforce. Your support in this effort is greatly appreciated. 

10. Would you describe your ethnicity as Hispanic? 

 

11. Please indicate your race (check all that apply): *