Application for the Minor Program in Speech & Hearing Biosciences and Technology (SHBT)

To apply to the MInor Program in SHBT, complete this form and email your CV (pdf format) to Have the necessary official transcripts and two evaluation letters emailed to the same address and/or sent to  SHBT Minor Program  c/o Christopher Shera  Eaton-Peabody Laboratory/MEEI  243 Charles Street  Boston, MA 02114 Deadline for receipt of all application materials:June 30, 2011
* Required

Current Graduate Program

Current official transcript required

Previous Training

Official transcripts required for schools attended less than two years ago

Proposed Mentors

A consulting mentor affiliated with the SHBT program is required if the primary mentor is not a member of the SHBT faculty

Statements and Plans

Enter "see attached" if you prefer to email your statements and plans as pdfs along with your CV.

Evaluation Letters

Names of two persons from whom you have requested evaluation letters. If you are currently engaged in a research project, one of the letters should come from your research supervisor.

Gender and Ethnicity

Required by the National Institutes of Health (for statistical purposes only)

Never submit passwords through Google Forms.