Office of the Vice Provost for Research

Penn Application Deadline: November 15

CHOP Application Deadline: December 14

If you have any questions regarding the Penn fellowship please contact Josie Rook, Executive Director, Office of the Vice Provost for Research.

If you have any questions regarding the CHOP fellowship please contact Paulette McRae, PhD, Academic Programs Officer, CHOP Office of Postdoctoral Affairs.

Application Form for

Postdoctoral Fellowships for Academic Diversity
at The University of Pennsylvania and The Children’s Hospital of Philadelphia

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

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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:

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3. Prior Postdoctoral Research Experience
4. Prior Teaching Experience
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Add another teaching position
5. Recruitment
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In which journal did you see our advertisement?

Please Explain:

6. Mentor

Applicants are encouraged to have a Penn and/or CHOP faculty member with compatible research interests to submit a letter confirming that he/she is willing to serve as the applicant’s primary mentor during the fellowship period. Mentors should be familiar with the program guidelines and responsibilities of mentoring.

The mentor’s letter should be uploaded here.

Mentor 1 (Primary Mentor)

Mentor 2

7. References

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

Reference 1

Reference 2

Reference 3

8. Additional Materials

Please upload the following requested documents.

Include current and pending publications.

no longer than three pages, single-spaced, and one inch margins, which addresses all of the following in the order below: (Note: each page should be numbered and have the applicant’s name.)

  • 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

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.