Application for Scholars REC Scholar Application Do not complete this application until you have the following required attachments: Current CV 1 letter of recommendation from your current mentor 1 letter of commitment from your proposed REC mentor verifying that you can dedicate 50% time to your REC project (with 50% funding support from REC) If your current mentor and REC mentor are the same person, please include a letter of recommendation from another mentor. Your letters must be from two different people. 1-page personal statement regarding goals in ADRD research 1-page research concept proposal Letter of support from department chair stating support for 50% research effort Mentor biosketch and mentor training table from current mentor Mentor biosketch and mentor training table from proposed REC mentor (if different than current mentor) * A mentor training table example may be found HERE. Applicant First Name: * Applicant Last Name: * Phone: * Email: * Title of Research Project: * Department: * Current Lab/Mentor: * For the Proposed REC Mentor field below, you must contact your proposed mentor prior to applying. If you need help identifying a REC mentor or if your proposed mentor is not on the Approved Mentor List, please contact the REC Coordinator at rec@email.wustl.edu. Proposed REC Mentor: * View approved list of mentors. Current Role/Position * Research Area: * (Clinical, Basic, Translation, etc.) eRA Commons ID: ORCID: Demographics The Knight ADRC REC is committed to increasing recruitment, training, and success for underrepresented groups, women, and people with disabilities. How do you describe your gender identity? (Select all that apply.) Female Male Transgender Cisgender Non-Binary Genderqueer Agender Not Listed I do not wish to answer this question. With which racial or ethnic group(s) do you identify? (Select all that apply.) American Indian Alaskan Native Asian Black or African American Hispanic, LatinX or Spanish Middle Eastern or North African Native Hawaiian or Pacific Islander White Another race/ethnicity not listed I do not wish to answer this question. Do you identify as a person with a disability as defined by the NIH? Yes No I prefer not to answer Do you identify as a person with a disadvantaged background as defined by the NIH? Yes No I prefer not to answer Required Attachments Applicants are required to attach the following documents before submission. Incomplete applications may be rejected. Current CV 1 letter of recommendation from your current mentor 1 letter of commitment from your proposed REC mentor If your current mentor and REC mentor are the same person, please include a letter of recommendation from another mentor. Your letters must be from two different people. Personal statement regarding goals in ADRD research 1-page research concept proposal Letter of support from department chair stating support for 50% research effort Mentor biosketch and mentor training table from current mentor Mentor biosketch and mentor training table from proposed REC mentor Required Application Attachments: * Drop a file here or click to upload Choose File Maximum file size: 33.55MB Attachments may not exceed 33MB in total. Allowed file types: pdf, doc, docx. Submit REC Scholar Application