Research Associate (RA) Application
RA Program at St. Vincent's Medical Center
1.
RA Programs applying for (select one or more)
St. Vincent's Medical Center, Bridgeport, CT
Hackensack University Medical Center, Hackensack, NJ
Flushing Hospital Medical Center, Queens, NY (starting spring semester, 2025)
2.
Semester applying for?
Fall
Spring
Summer
3.
Year applying for?
2024
2025
2026
2027
*
4.
Mr. / Ms.
(Required.)
Mr.
Ms.
*
5.
First Name
(Required.)
*
6.
Last Name
(Required.)
*
7.
Personal email (NOT
your school email)
(Required.)
*
8.
Cell phone number: formatted as (XXX) XXX-XXXX
(Required.)
*
9.
School Name
(Required.)
*
10.
School City
(Required.)
11.
School State
*
12.
Health Professions Adviser's First Name, Last Name
(
NOT
your Academic Adviser)
(Required.)
*
13.
Health Professions Adviser's Degree
(Required.)
PhD
EdD
MD
MEd
MA
MS
MBA
None
Other (please specify)
*
14.
Health Professions Adviser's email address
(Required.)