IC3 Membership Application Application for University of Florida researchers interested in joining the Intelligent Critical Care Center (IC3). Personal InformationName(Required) First Last UF ID(Required) Email(Required) UF email address (must include "ufl.edu")Department(Required) Title(Required) PhoneYour Lab Website or Profile Dimensions profile Google Scholar profile GitHub, other online or social media sites IC3 uses social media to promote the research and accomplishment of its membersIC3 Membership QualificationsAre you an Early Stage Investigator (last degree within the last 5 years)?(Required) Yes No If yes, year last degree was earned. N/A if No.(Required) Number of Extramural Grants(Required)Desired Level of IC3 Membership(Required) Full Membership Associate Membership CV(Required)Accepted file types: doc, docx, pdf, Max. file size: 125 MB.Upload a current CV.NIH Biosketch (including myNCBI link)(Required)Accepted file types: doc, docx, pdf, Max. file size: 125 MB.AI Research Statement(Required) Visual Text In 500 words or fewer, describe (1) how your current and future research intersects with Medical/AI, (2) your prior Medical/AI-related research experience, (3) how you expect to contribute to the goals of the IC3, and (4) how you expect to benefit from IC3 membership.Professional Photo/Headshot(Required) Drop files here or Select files Max. file size: 125 MB. Photo will be used on the Members page and in News stories on the IC3 website.Consent(Required) I agree.By applying for IC3 membership, you grant permission for the IC3 administrative core to access your UF research portfolio. This data will be used in the review process and administrative reporting for IC3 as required by UF.CAPTCHA
