Resize font:

Please complete this online application. Below is a list of items needed to complete this application:

1. Signed completed application.

2. Two letters of recommendation on letterhead from people who know you professionally. You must use the " Recommendation Form" and follow the instructions on the form. One of the letters MUST be from a college science professor. The second recommendation can be from a community leader, teacher, coach, counselor, etc. (Recommendations can be uploaded as part of the online application or emailed to CDI@ohsu.edu )

3. Career goals essay

4. Resume

5. Transcripts

Note: If selected for the Equity Program, official trancsripts will be required.

Mail sealed transcripts to:
OHSU Center for Diversity & Inclusion
Attn: Equity Research Program
Mail Code L601
3181 SW Sam Jackson Park Rd
Portland, OR 97239

The application and all supplemental materials should be submitted online by: 4:00p.m. Friday, February 7th, 2014.

Important Note: You will need approximately 30-60 minutes to complete this application. If you need to save and return later, please write down the validation code for your records to ensure you can access your application later. If you have lost your validation code please call or email the Center for Diversity & Inclsuion for access.

Please review OHSU'S Code of Conduct page.

Contact Information
Center for Diversity & Inclusion, L-601
3181 SW Sam Jackson Park Road
Portland, OR 97239

Telephone: 503-494-5657
Fax: 503-494-4916
Email: CDI@ohsu.edu
Facebook: facebook.com/OHSU.CDI

For additional information, please visit our Frequently Asked Questions (FAQ) web page or email CDI@ohsu.edu

Page 1 of 6

You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.
This value you provided is not a number. Please try again.
This value you provided is not an integer. Please try again.
The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.
The value you provided must be within the suggested range.
The value you provided is outside the suggested range.
This value is admissible, but you may wish to verify.
The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).
This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.
This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.
This field must be a valid email address (like joe@user.com). Please re-enter it now.
The value you provided could not be validated because it does not follow the expected format. Please try again.
/^((29([-\/.]?)02\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1\d|2[0-8])([-\/.]?)(0[1-9]|1[012]))|((29|30)([-\/.]?)(0[13-9]|1[012]))|(31([-\/.]?)(0[13578]|1[02])))(\11|\15|\18)\d{4})) (\d|[0-1]\d|[2][0-3]):[0-5]\d$/
/^((02([-\/.]?)29\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1[012])([-\/.]?)(0[1-9]|1\d|2[0-8]))|((0[13-9]|1[012])([-\/.]?)(29|30))|((0[13578]|1[02])([-\/.]?)31))(\11|\15|\19)\d{4})) (\d|[0-1]\d|[2][0-3]):[0-5]\d$/
/^(((\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00))([-\/.]?)02(\6)29)|(\d{4}([-\/.]?)((0[1-9]|1[012])(\9)(0[1-9]|1\d|2[0-8])|((0[13-9]|1[012])(\9)(29|30))|((0[13578]|1[02])(\9)31)))) (\d|[0-1]\d|[2][0-3]):[0-5]\d$/
/^((29([-\/.]?)02\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1\d|2[0-8])([-\/.]?)(0[1-9]|1[012]))|((29|30)([-\/.]?)(0[13-9]|1[012]))|(31([-\/.]?)(0[13578]|1[02])))(\11|\15|\18)\d{4})) (\d|[0-1]\d|[2][0-3])(:[0-5]\d){2}$/
/^((02([-\/.]?)29\3(\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00)))|((((0[1-9]|1[012])([-\/.]?)(0[1-9]|1\d|2[0-8]))|((0[13-9]|1[012])([-\/.]?)(29|30))|((0[13578]|1[02])([-\/.]?)31))(\11|\15|\19)\d{4})) (\d|[0-1]\d|[2][0-3])(:[0-5]\d){2}$/
/^(((\d{2}([13579][26]|[2468][048]|04|08)|(1600|2[048]00))([-\/.]?)02(\6)29)|(\d{4}([-\/.]?)((0[1-9]|1[012])(\9)(0[1-9]|1\d|2[0-8])|((0[13-9]|1[012])(\9)(29|30))|((0[13578]|1[02])(\9)31)))) (\d|[0-1]\d|[2][0-3])(:[0-5]\d){2}$/