Academic Affairs Office

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Please complete this brief questionnaire to help us facilitate your Broad Associate or Affiliate Member appointment, providing concrete examples where appropriate.

Nominee Information Please select the option that best describes you
Member Type

Associate Members have a broad spectrum of engagement but tend to be deeply engaged in Broad science. This appointment confers automatic PI status, intended for those planning to initiate scientific collaborations at the Broad.

Affiliate Members enjoy access to the Broad and its resources and the opportunity to forge connections with its scientific community. This appointment does not confer automatic PI status (which is available upon petition), ideal for those seeking a Broad appointment chiefly for access to data, resources and meetings.

Please process/renew my appointment as an

Associate and Affiliate Members must hold faculty level appointments with one of our partner institutions. Please indicate your primary home institution.

In order to be eligible for an Associate or Affiliate Member appointment you must hold a title of Assistant Professor or higher at one of the Broad partner institutions listed above. Please note for new faculty at our hospital partners: Your HMS Assistant Professor (or higher) appointment must also be finalized before we can appoint you as an Associate or Affiliate Member. Understanding that this process can take some time, we are happy to appoint you as an Associated Scientist to facilitate access and engagement with the Broad community.

Questions for those applying to be a new Associate Member
  1. If you indicated above that you are currently collaborating with one or more Broad program or platform, please describe that collaboration here.
  2. If you are not currently collaborating with a Broad program or platform, are there other ways in which you and/or your lab engage with the Broad, such as by speaking at or attending a Broad seminar series?
  3. Please detail ways in which you hope that you and your lab might further engage with the Broad over the next two years.
  4. Please describe how we could help you navigate the Broad and get more involved.
Questions and Comments for Returning Members
  1. Please rank your engagement at the Broad
    (1= limited engagement, I occasionally attend talks or meetings, 5= highly engaged, I have substantial active scientific collaborations here)
  2. Are you satisfied with your current level of engagement at Broad?
    (1 = I would like to be more engaged, 5 = I am currently engaging at my desired level)

  3. Please indicate your physical presence at the Broad (check all that apply)
  4. Do you currently have funding through the Broad? (check all that apply)
  5. Please rank the engagement of your lab members at the Broad
    (1= my lab members occasionally attend talks, 5= highly engaged, I have lab members resident at/primarily appointed at the Broad)
  6. Please estimate how many staff/trainees you currently have based at the Broad.
  7. Please provide specific examples of how you and your lab have been involved with the Broad community and ways in which your research has benefited from your involvement as a Broad Associate Member.
  8. Please explain in detail why you are interested in continuing to be an Associate Member at the Broad, how your research may benefit in the future from your continued involvement as a Broad Associate Member, and specific ways in which you and your lab will enrich the research at the Broad and/or extend the Broad Community.
  9. What could we do in the future to better support the ability of you or your lab to connect with and collaborate at the Broad?
  10. Please provide any additional comments or input that you would like to share.
Questions for those applying to be a new Affiliate Member
  1. What scientific Program or Platform is of most interest to you?
  2. Please tell us how you or your lab members hope to benefit from a Broad affiliation and how we might help you navigate and engage with the Broad community.
Staff Contact Info

    We invite you to share contact information for your home institution assistant and/or grants administrator. The Office of Academic Affairs will help orient your staff to Broad procedures and best practices

  1. Assistant

  2. Grants Administrator