Hidden Fields
Campaign ID
Campaign Prefilled
Campaign Prefilled
Campaign Status
Please select...
Event Cancelled
Closed
Campaign Fiscal Year
Contact ID
Campaign Type
Contact Prefilled
Contact Prefilled
University Account ID
Academic Research Symposia Interest Form
Thank you for your interest in an IHS program, but unfortunately this application link is broken.
Please attempt to refresh this page.
If that does not resolve the issue, please use the "Technical Help" button below. They will be happy to provide you with the correct link as soon as possible. Thank you and we apologize for any inconvenience!
From License to Practice: Gender Disparities in Health Care
Please complete this form to express interest in our academic research symposia. We will review your submission and follow up with more information shortly. Note that academic research symposia are invitation-only events and completing this form does not equate to registering for the seminar. If your application is selected, we will follow up with more information regarding the program and registration. Thank you for your interest!
From License to Practice: Gender Disparities in Health Care
Please complete this form to express interest in our online research discussion. We will review your submission and follow up with more information shortly. Note that research discussions are invitation-only events and completing this form does not equate to registering for the program. If your application is selected, we will follow up with more information regarding the program and registration. If you have any questions or concerns, please contact Events@theIHS.org. Thank you for your interest!
Personal Information
First Name
Last Name
Preferred Name
Preferred Email Address
Personal
Work
Alternate
Email
Affiliation Information
Are you primarily a:
Student
Faculty
Academic Administrator
Professional
University
Start typing to select your institution from the list.
Company
Role
Discipline
Please select...
Anthropology
Archaeology
Architecture
Art
Art History
Astronomy
Biology
Business
Chemistry
Classics
Cognitive Science
Communications
Comparative Literature
Computer Science
Earth Sciences
Economics
Education
Electrical Engineering
Engineering
English
English Literature
Environmental Science
Ethnic Studies
Film
Fine Arts
Gender Studies
Geography
Geology
Health Sciences
History
Humanities
Interdisciplinary Studies
Journalism
Language Studies
Law
Law and Economics
Liberal Arts
Life Sciences
Linguistics
Literary Studies
Mathematics
Medieval Studies
Music
Philosophy
Physical Sciences
Physics
Political Science
Psychology
Public Administration
Public Policy
Religious Studies
Science
Sociology
Statistics
Theater
Urban Planning
Other
Undecided
Career Stage
Please select...
Post Doc
VAP
Adjunct
Non-Tenure Track
Tenure Track
Tenured
Retired
Degree Type
Please select...
AA
BA
BBA
BFA
BS
Certificate
D.Phil.
DBA
Diploma
Ed.D.
High School
JD
LLB
LLM
M.Div.
M.Ed.
M.Phil.
MA
MBA
MD
MFA
MPA
Mphil
MPP
MS
PhD
PhD/JD
PhD/MD
Graduation Year
Advisor First Name
Advisor Last Name
Primary Career Interest
Please select...
Academia
Business
Education K-12
Fiction
Film
Journalism/New Media
Law
Nonprofit
Medicine
Public Interest Law
Public Policy
Politics
Publishing
Other
Research Interests
CV
Website
Application Information
How did you hear about this program?
Please select...
Email
Facebook
LinkedIn
Twitter
Website
Printed material
Word of mouth
Please explain your interest in the symposium's topic and how it relates to your current or planned research.
Please explain your interest in the program's topic and how it relates to your current or planned research.
Next Steps:
Please ensure Events@TheIHS.org is added to your safe senders list. If your application is approved, we will send an email inviting you to register.
Please click
this link
to view our program waiver and
this link
to view our privacy policy.
I agree to the terms and conditions outlined in the waiver and privacy policy.
Technical Help