Office of the Vice Provost for Research

All application materials must be submitted by August 30, 2013.

If you have questions or are unable to complete the online application please contact pdfellow@exchange.upenn.edu.

Application Form for

Postdoctoral Fellowships for Academic Diversity at the University of Pennsylvania

This application must be completed in one session. Once you submit your application, you will be unable edit the information you have supplied. Be sure to have all the requested information available as you fill it out.

1. Personal Information

  •   
  •   
  •   
  •   
  •   
  •   
  •   
  •   
  •   
  •   
  •   

Hispanic (or Latino)A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. This does not include persons of Portuguese descent or persons from Central or South America who are not of Spanish origin or culture.

American Indian or Alaskan NativeA person with origins in any of the original peoples of North America who maintains cultural identification through tribal affiliation or has community recognition as an American Indian or Alaskan Native.

AsianA 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.

Native Hawaiian or other Pacific IslanderA person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Black (or African American)An individual, not of Hispanic origin, with origins in any of the black racial groups of Africa.

White (or Caucasian)An individual, not of Hispanic origin, with origins in any of the original peoples of Europe , North Africa . or the Middle East.

Two or More RacesAll persons who identify with more than one of the above six races.

2. Education

Please check all that apply and list dates for each degree:

  • (MM/YYYY)
  • (MM/YYYY)
  • (MM/YYYY)
  • (MM/YYYY)
  • (MM/YYYY)
  • (MM/YYYY)





3. Prior Postdoctoral Research Experience
4. Prior Teaching Experience
to
to
to
Add another teaching position
5. Recruitment
  •   
  •   
  •   
  •   
  •   
  •   

In which journal did you see our advertisement?

Please Explain:

A qualified mentor is required for this program. A qualified mentor is a Penn faculty member capable of supervising research in your area of interest. You may identify up to three potential mentors. Please contact the primary Penn faculty member that you are interested in working with to ensure that s/he has agreed to supervise your work as a Fellow.

Mentor 1 (Primary Mentor)

Mentor 2

Mentor 3

Please list the three individuals who will submit letters of reference on your behalf.

Reference 1

Reference 2

Reference 3

6. Additional Materials

Please upload the following requested documents.

Include current and pending publications.

No more than three pages, which addresses the following:

  • reviews your previous research accomplishments
  • outlines your future research goals and proposed research
  • describes your commitment to pursuing an academic career
  • and includes academic, employment or other life experiences that would bring new perspectives to the University community and your chosen field
Please use one inch margins, size 12 font and single spacing.

You may also include a letter from the primary mentor expressing support for your Fellowship candidacy.

Once you submit your application, you will be unable to edit the information you have supplied. Please review once more before clicking the button below. After submitting, you will receive an email (at the address you provided above) confirming your submission with a link to a downloadable PDF of your application.