JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
One Step Ahead Mentoring Program (OSAM)- Research Track Protégé Application
Welcome to the OSAM Protégé application!
Please visit our website for more information if you have questions about the program offerings
https://bit.ly/3bF4I5b
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Your First Name
*
Your answer
Your Last Name
*
Your answer
Your Program
*
Choose
Biochemistry and Molecular Biology
Biohazardous Threats and Emerging Infectious Diseases
Bioinformatics
Biostatistics
Biotechnology
Clinical and Translational Research
Executive Masters in Clinical Quality, Safety and Leadership
Health Informatics & Data Science
Integrative Medicine & Health Sciences
Integrative Neuroscience
Microbiology and Immunology
Physiology & Biophysics
Special Master's Program in Physiology
Pharmacology
Systems Medicine
Tumor Biology
Other
Your Georgetown email address
*
netid@georgetown.edu
Your answer
Gender: How do you identify?
*
Male
Female
Non-binary
Prefer to self-describe, below
Other:
Gender: How do you identify?
*
Your answer
Your Ethnicity
*
American Indian/Alaskan Native
Asian
Black or African American
Caucasian/white
East Indian
Inter-racial
Middle Eastern
Native Hawaiian or other Pacific Islander
Prefer not to answer
Other:
Required
Hispanic or Latino?
*
Yes
No
Prefer not to answer
Indicate level of education of Parent 1 and/or Parent 2?
*
High School
Associates Degree
Bachelors Degree
Master's Degree
Advanced Degree
Describe a barrier or obstacle that you feel you need to overcome to get into a PhD program? How can this program help you overcome these barriers? (Please be descriptive)
*
4-5 sentences
Your answer
If selected for this program, what types of information or advice do you hope to gain from your mentor. Provide areas you need help in! This will help us match you with the right mentor.
*
Your answer
Do you plan on applying to a PhD program for fall or summer admission of 2023?
*
YES
NO
Most Likely
Unsure
My applications are currently submitted
Other:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Georgetown University.
Report Abuse
Forms