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SUS/AAA Jumpstart Program

Junior Underrepresented Mentorship and Promotion Start Program

  • About JUMPSTART
  • Leadership
  • Our 2022-2024 Cohort
  • Curriculum/Timeline
  • Contact

Program Acceptance Form

  • AWARDEE INFORMATION

  • Please list your name, including suffix, title, department, and institution.
  • Max. file size: 512 MB.
  • AWARD PAYMENT INFORMATION

    Through the course of the curriculum you will be granted stipends to support your travel. Please complete the details below as to how the check should be made payable:
  • Click here to download and complete a W-9 form. Once complete please upload here:
    Max. file size: 512 MB.

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