PASS Program Inactive Form

PASS INACTIVE FORM

Thank you for your interest in the Postdoctoral Application Support Service (PASS).
Please complete this form and submit it to PASS.

Peter Storandt
Director of Marketing
storandtp@adea.org

Yolanda Jones
Operations Manager
jonesy@adea.org

Drake Washington
Program Coordinator
washingtond@adea.org

PASS
1400 K Street, N.W.
Suite 1100B
Washington, D.C. 20005

202-289-7201


PASS Program Code
Institution Name
Program Director's Information
First Name
Last Name
Telephone
Fax
Email
Reason for withdrawing from PASS:
	Not accepting applicants for this cycle
	Lost funding/program was discontinued
	Other


Please let us know what you think of the service provided to you by PASS


Director's Signature
Date



If you decide that you would like to have your program participate in PASS in a future Application Cycle please complete the Program Participation Form.