This nomination is open to Postdoctoral Fellows who use the Affiliate/SHIP insurance plan offered through MIT Medical. Postdoctoral Fellows with dependents who use the plan are especially welcome to apply.

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* 1. Your first name

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* 2. Your last name

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* 3. Your MIT department, lab or center (DLC)

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* 4. Your MIT email address

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* 5. Your MIT appointment title

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* 6. Statement of interest (1-2 brief paragraphs). Please include why you are interested in serving on the Medical Consumers' Advisory Council, and any relevant experience as a consumer of the Affiliate/SHIP insurance plan that you would bring to the committee.

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* 7. Your MIT postdoctoral appointment end date

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* 8. The final step in the application process is to email a PDF of your CV to annskocz@mit.edu. Please indicate the filename of the CV being sent.

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