Research Ethics Program Application

Apply by Email:

Select a format: PDF | MS Word

Email completed applications to: hsilverm@som.umaryland.edu

Or use the online application form below.

Instructions Please list in chronological order all educational experiences leading to an academic degree.
1. College/University
City/Country
Dates Attended
Discipline
Degree
Date Degree Earned
2. College/University
City/Country
Dates Attended
Discipline
Degree
Date Degree Earned
3. College/University
City/Country
Dates Attended
Discipline
Degree
Date Degree Earned
4. College/University
City/Country
Dates Attended
Discipline
Degree
Date Degree Earned

Describe your own experience IN THE ETHICAL REVIEW OF RESEARCH (e.g., participation in a research ethics committee at your institution).
Describe your experience in the LEARNING OF ETHICS, for example, courses taken, workshops attended, etc. If none, state NONE.
Describe your own experience in the TEACHING OF ETHICS. If none, state NONE.

Please describe how the Certificate Program will help you enhance research ethics in your institution/ country. Please be specific regarding what kind of activities you will do (teaching activities, developing ethics committees, research projects, etc).

Partial or Full scholarships are offered on a highly competitive basis for applicants who are from and reside in low and middle income countries.
If the above condition applies, do you wish to be considered for a scholarship opportunity?YESNO

A requirement for acceptance in the program is documentation of English Proficiency. Please check which of the following describes your current documentation of English proficiency. *
If you check TOEFL or IELTS, please send in the copy of your scores. One does not need to have a current TOEFL or IELTs test score to apply, but one does need to have a passing score by May 15.TOEFL Score (passing score is 80)IELTS (passing score is 7.0)Degree from an English Speaking University in the USA, UK, Canada, or AustraliaCurrently, I have no documentation of English Proficiency, but will plan to take the TOEFL or IELTS

Instructions WITH YOUR APPLICATION – PLEASE ATTACH THE FOLLOWING:

1. A Curriculum Vitae (not more than five pages)
2. Copy of your passport
3. Documentation of English proficiency
4. Please have two individuals (one of whom holds a high position in your institution (e.g., President, Dean, Vice-Dean) send letters of recommendations to: hsilverm@medicine.umaryland.edu
5. Please send your official transcripts from prior academic institutions to: hsilverm@medicine.umaryland.edu
Upload CV *
Upload Passport Copy
Upload documentation of English proficiency
DECLARATION I declare that this information is completely accurate and without falsifications.
Signature *Type your name
Date *

Asia Research Ethics