Catalyst Europe 2023 Cohort Application Form

Applications are due by July 16th, 2023, 12:59pm GTM+1 Europe.

Only complete, submitted applications will be considered.

Interviews for select candidates will be held via videoconference on Wednesday, July 26, 2023, 11am-6pm (CET). Please book the date! Pre-selected candidates will be contacted by July 21st and invited to attend interviews.

If you would like to be able to complete this form in more than one session, please follow these steps:

1.) Click on the Log In button, in the Save & Return box below, to create your account.
2.) Before exiting the form, scroll down to the bottom of the page and click on Save Progress. A banner at the top will appear when you have successfully saved progress. Please note that if you don't click the Save Progress button your information will be lost once you close the form.
3.) When you want to return to the form later, you will need to log in, and you’ll then return to the state at which you saved it.

If you plan to complete the form in a single session, then you can simply complete the form, and press submit at the bottom of the page to submit it.

Documents and Information you will need to submit in the Application Form:

1- Questions to be filled in the questionnaire below (required fields marked with an asterisk) // 2- Curriculum Vitae/resume (required) // 3- Reference letters (recommended) // 4- Reference contacts (required)

Relevant information about the program - We recommend you to read carefully the following information:

Program website: https://www.catalysteurope.eu/

Terms & Conditions: https://cutt.ly/ywqRsUWb

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Personal Information

First Name *

Last Name *

Email Address *

Cell Phone *

Organization
Enter n/a if non applicable *

Department
Enter n/a if non applicable *

Job Title
Enter n/a if non applicable *

Country *

Address (including City) *

Please indicate your highest level of education: *

Please select the descriptor that BEST describes your view of yourself. Recognizing that individuals seldom fit neatly into such categories, if need be you can select up to two options. *

Engineer - As an engineer, you are a professional who applies scientific and mathematical principles to design, develop, and analyze systems, structures, machines, and processes. Engineers use their knowledge and skills to solve problems and create innovative solutions.

Scientist - As an scientist, you engage in the systematic study and investigation of the natural world through observation, experimentation, and analysis. Scientists play a crucial role in advancing our understanding of the world and developing new technologies, medicines, and solutions to complex problems.

Designer - As a designer, you’re interested in creating designs that prioritize the needs, desires, and experiences of people and that truly enhance the lives of the people who use them using human-centered design, user experience (UX) principles, service design, and/or design strategy.

Behaviorist - As a behaviorist, you’re interested in understanding human decision-making and the drivers of human behavior to inform your strategies, designs, and communication approaches.

Clinician - As a clinician or physiologist, you’re focused on understanding and treating human health condition as playing a vital role on the healthcare team, contributing to the diagnosis, treatment, and management of patients' health conditions.

Application Questions

The objective of these questions is to know more about you and your experiences. Remember that Catalyst will guide and train you to identify and validate unmet needs, define solutions and design new research projects with high translational potential during the program. You are applying as a talented and passionate individual who is interested in working with other Fellows to initiate new projects with high potential to make an impact in healthcare.

Please list your core competencies, including domains of expertise and experience (75 word max): *

0/75 words

Help us understand your CV in context. Tell us about one or two of your professional or research experiences--describe your role in understanding challenges, applying learnings, and influencing outcomes. (150 word max):
*

0/150 words

Logical reasoning skills are foundational to the Catalyst process. Please tell us about a past research or professional experience where the application of logical reasoning skills were critical. (150 word max):
*

0/150 words

Please tell us why you are interested in being a Fellow in the Catalyst Europe Program (75 word max). *

0/75 words

What else should we know about you? (Optional)

0/75 words

Please attach a CV (not to exceed 5 pages). *

Availability and Allowability

Please confirm that you are available to attend sessions online on Thursday, 3pm-6pm, September 7th 2023 through March 7th 2024, that you are able to devote 10-12 hours / week during the program, and that you are able to travel to attend the intensifications, which are full time and may require to travel (check the dates in the Catalyst Europe 2023 web page or in the Terms and Conditions at the end of this form). *

Yes, I am able to make the necessary commitment.

I am unsure of whether I can make the necessary commitment

Applicants are encouraged to have the support of their supervisor for participating in program. Please indicate the support you estimate at this point in time. *

My supervisor is supportive.

My supervisor is tentatively supportive (explain why in following question).

My supervisor is not suportive.

N/A: I don't have a supervisor

N/A: I don't need the support from my supervisor (explain why in the following question)

I would like assistance from the program in discussing with my supervisor

Other Other

Compatibility with current activity. Please provide explanation about:
1- Time availability: Is the time you will need to spend on Catalyst (~20% effort) compatible with your current activity, or can you reduce the dedication in your current activity to make it compatible?
2- Allowability: Is Catalyst Europe compatible with your current activity from administrative and legal point of view? (e.g. would a hypothetical exclusivity clause prevent you from participating in the program?). *

Are you available for virtual, day-long introduction and interview activities on July 26th?
The activities on July 26th will run online, via videoconference. The timetable will be communicated when pre-selected candidates are announced by July 21st. For now, please book the whole day. You would be required to participate in workshops during the morning and early afternoon, as well as to one 15min interview in the afternoon. *

References

Reference 1 Name *

Reference 1 Organization and Title *

Reference 1 Email *

Reference 1 Phone *

Reference 2 Name

Reference 2 Organization and Title

Reference 2 Email

Reference 2 Phone

Please attach reference letters - Optional.
(All of them in one pdf file).

Other Matters

How did you hear about the Catalyst Program? *

Any additional comments or questions?

Do you accept the Terms and Conditions? *

I have read and accept Terms&Conditions