Berkeley Pharma Tech - Application for Editor In Chief

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Email *

What is your legal name? *

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What is your permanent address?

What are your preferred pronouns? *

Although we do not need your SSN during the application process, please be ready to provide it if you are selected for this position

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What are some preferred names (if any) that you also go by? *

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Do you have work authorization in the U.S.? *

Yes

What is your current status? *

F-1 Visa

CPT

OPT

U.S Citizen

U.S Permanent Resident

What is the highest degree or credentials that you have obtained in the U.S.? *

Bachelor's Degree

Master's Degree

Ph.D

Post-Doctorate

What universities have you/are currently attending? *

What is your language proficiency? (Ex. English - Native, Spanish - Conversational) *

Have you ever served the military? Please outline your experiences, time served, and any accomplishments. *

Are you disadvantaged? If so, please explain. *

Do you have a record of institutional action? If so, please explain. *

Do you have any felonies? If so, please explain. *

Do you have any misdemeanors? If so, please explain. *

Are you currently employed? *

Yes

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