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Rheumatology Research Foundation Peer Review Registration
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email
(Required.)
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4.
Institution
(Required.)
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5.
State
(Required.)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (DC)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Education & Training
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6.
Field of Research Training
(Required.)
Anthropology
Applied Mathematics
Biochemistry
Bioengineering
Bioinformatics
Biology
Biophysics
Botany
Cell Biology & Regulation
Chemistry
Clinical Research Training
Computational Biology
Developmental Biology
Economics
Engineering
Epidemiology
Evolutionary Biology/Systematics
Genetics
Genomics
Health Behavior
Health Policy
Health Services Research
Imaging Science
Immunology
Material Science
Mathematics
Microbiology
Molecular Genetics
Nanotechnology
Neuroscience
Nursing
Outcomes Research
Parasitology
Pharmacology
Rehabilitation Science
Reproductive Science
Social Work
Sociology
Statistics
Structural Biology
Toxicology
Not Applicable
Other (please specify)
*
7.
Are you certified in Pediatric or Adult Rheumatology?
(Required.)
Adult Rheumatology
Pediatric Rheumatology
Rheumatology Health Professional
Other
Area(s) of Expertise
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8.
What is your research area(s) of expertise? Please choose all that apply.
(Required.)
Basic Discovery Research/Biology
Etiology/Mechanisms of disease
Prevention
Early Detection/Diagnosis/Prognosis
Treatment
Outcomes Research
Scientific Model Systems
Not Applicable
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9.
Diseases Studied
(Required.)
Lupus and related disorders
Rheumatoid arthritis or JIA
Psoriatic arthritis
Spondyloarthritis or IBD
Osteoarthritis
Gout
Dermatomyositis
Sjogren
Sarcoidosis
Vasculitis
Bone Biology
Other (please specify)
*
10.
Please upload your most current CV or Biosketch in NIH Format (Limit 4 Pages)
(Required.)
Choose File
No file chosen
Demographics
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11.
Gender
(Required.)
Female
Male
Unspecified
*
12.
Race
(Required.)
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Not Provided
*
13.
Ethnicity
(Required.)
Hispanic or Latino
Not Hispanic or Latino
Not Provided
Participation
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14.
I am willing and able to serve as a peer reviewer in calendar year...(Select all that apply)
(Required.)
2023
2024
2025
2026
2027
15.
Are there any other individuals you would like to recommend to serve as a peer reviewer for the Foundation?