U.S. Policy Communication Training Application | 2023-2024

Please note that you are able to save your responses and return to finish the application at a later time. To do this, be sure to click "next" at the end of the pages you worked on before you leave the site. You will be able to return and edit your responses provided that you are using the same computer that you originally started on. The deadline to return and edit your application is Sunday, March 5, 2023.

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* 1. First name

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* 2. Last name

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* 3. Address

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* 4. Phone number

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* 5. Primary email address

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* 6. Secondary email address

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* 7. Citizenship status

U.S. Citizen

U.S. Permanent Resident (Green Card holder)

Other:

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* 8. Are you currently enrolled as a student in a PhD or Doctoral program?

Yes

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* 9. Academic Institution and Department

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* 10. In what year of your program are you right now?

Year 3

Year 4

Year 5

Other:

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* 11. Please provide a brief timeline of the remaining steps until you complete your dissertation. For example, include whether you have already collected and analyzed data.

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* 12. Anticipated graduation date

Please provide your anticipated graduation date:

Date

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* 13. Advisor's name

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* 14. Dissertation topic

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* 15. Do you have results from a research study you worked on or your dissertation you could draw on during the training? Your research results will be used to build a policy presentation during the workshop.

Yes

If no, what policy-relevant research will you use to develop a presentation during the workshop?

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* 16. Will you have results from a research study or your dissertation work you could draw on for the practicum over the following year?

Yes

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* 17. Do you anticipate having results from a research study or your dissertation work you could draw on during the year following the training (this can be the same as what you use during the workshop)?

Yes

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* 18. Please upload an up-to-date resume with a full list of educational and professional activities.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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* 19. How did you hear about this program?

PRB's website

Announcement from my population center

Email announcement

From a professor

From a fellow student

Social media

Search engine

Other:

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* 20. If you responded "From a professor," "From a fellow student," "Social media," or "Other" in the previous question, please tell us who, where, or explain.