Affiliate Faculty Application Form

Affiliate membership is conferred for three years, with the option to renew. Affiliate status may be revoked if the affiliate violates any of the Kempner Institute or Harvard University policies or values. Please note that faculty must have principal investigator rights at Harvard in order to apply for affiliate status.

Affiliate Faculty Application Form

Affiliate Application
Name
Name
First
Last
Please indicate how you would like to engage with the Kempner Institute community (select all that apply)
0 of 100 max words
0 of 100 max words
0 of 300 max words