Personal information
First Name
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Last Name
Email
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email address, you may include it here.
Date of Birth
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Nationality
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Nationality
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Country of Birth
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Current Country of Residence
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State
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Visa Status
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F1
F2
J1
J2
H1B
H4
TN
O-1
O-3
L1
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E3
B1/B2
Not in US
Other
Date of Birth
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Current Country of Residence
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Educational Background: (Total 20 points)
Field of study (Total 20 points)
Select one option
Agricultural Sciences Biology & Biochemistry
Chemistry
Clinical Medicine
Computer Science
Economics & Business
Engineering or Environment/Ecology
Geosciences
Immunology
Materials Science
Mathematics
Microbiology
Molecular Biology & Genetics
Multidisciplinary
Neuroscience & Behavior
Pharmacology & Toxicology
Physics
Plant & Animal Science
Psychiatry/Psychology
Social Sciences, General
Space Science
Business Administration
Supply Chain and Procurement
Non-STEM (other than Science, Technology,
Engineering, Mathematics)
Other
Professional Experience
Less than 5 years
5-10 years
10+ years
Number of Citations (highest count from the
available databases) counter
Please fill in
“0” If you do not have any citations.
Year of the Most Recent Research Article
(Journal/Conference Article)
Please fill in
“0” If you do not have any publication.
Do you continue to conduct research and publish
papers? If so, do you have any ongoing projects that
will be published soon (i.e. in 6 months)?
Yes, I am still active in conducting research and
publishing papers
And I expect to publish another paper in (expected
month and year)
No, I will stop conducting research or publishing
papers all together
I don’t have any published research papers.
Number of Papers Reviewed (If you wish to apply for
EB-1A, EB-1B or O-1)
Evidenced by the
“thank-you” emails or the review certificates,
including the multiple reviews for the same
manuscript.
Do you have any editor role?
Yes
No