Application for Affiliate Status in Microbiology and Cell Science

First Name:
Last Name:
Office Phone
Lab Phone
Email Address

Briefly describe your reasons for requesting affiliation with the Microbiology and Cell Science department.

List the courses you teach or participate in.

Participation in the core curriculum consists of presenting at least two guest lectures, and It is required for new affiliates to complete this requirement within the first 2 years. Are you willing to fulfill this requirement?

On which graduate studies subcommittee(s) (recruiting, admissions, advising, or development) might you be interested in serving?

List the Ph.D. students you have trained in the past 5 years.
Name Degree Program Year Entered Curent Status

Please upload your CV.

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