American Federation for Aging Research (AFAR) Inc.

NIA-Funded Clin-STAR Database Sign-Up Form

Please complete this form to be added to the Clin-STAR Database. You profile will be populated by pulling information on publications, funding, etc. from public databases. For this reason, we ask for information like research IDs, places of employment and other names you may have published under. This information is for data collection only and will not be publicly shared.

Once we have built your profile, you will be able to review it and make any necessary edits. Your profile will not be posted without your approval.

After completing the form, you will receive access to your account on the Clin-STAR Database within one business day. Please reach out to database@clin-star.org with any questions.

Please note: To ensure you are able to see all position/discipline options, we recommend completing this form on a desktop/laptop computer.

The Basics
Name * First Last
Middle Name/Initial
Please write your full name and credentials as you would like them to appear on your profile (e.g. Jane Smith, MD, PhD) *
Email *
LinkedIn URL
Twitter URL
Website URL (e.g. your Profile page at your institution)
Profile Picture

If you are having difficulty uploading your photo, please review the size requirements (Maximum file size: 6 megabytes; Minimum dimensions: 200x200 pixels)
Upload Headshot (JPEG, GIF or PNG)

Maximum file size: 6 megabytes
Minimum dimensions: 200x200 pixels
Position(s) & Discipline(s)
Current Institution/Employer
City, State (e.g. San Francisco, CA) *
Academic position (select all that apply) *
Dean Department Chair Division Head Director/Co-Director Professor Associate Professor Assistant Professor Adjunct Professor Consultant Instructor Lecturer Post-Doctoral Fellow Fellow (specialty or subspecialty) Resident Medical Student Other
If you selected Other for your Academic Position, please specify here:
Discipline (select all that apply) *
Palliative Medicine Audiology Biostatistics Cardiology Clinical Laboratory Sciences Clinical Physiology Demography Dentistry Dermatology Economics Emergency Medicine Epidemiology Genetics Geriatrics Geroscience Gynecology Health Systems Sciences Hematology Infectious Disease Intensive Care Medicine Internal Medicine Endocrinology Gastroenterology Hepatology Nephrology Neurology Oncology Pulmonology Rheumatology Medical Toxicology Anesthesiology Nursing Nutrition Obstetrics Occupational Therapy Ophthalmology Optometry Otolaryngology Pathology Pediatrics Pharmaceutical Sciences Physical Fitness Physical Therapy Physiotherapy Podiatry Preventive Medicine Primary Care Psychiatry Psychology Public Health Radiology Recreational Therapy Physical Medicine and Rehabilitation Respiratory Therapy Sleep Medicine Social Work Sociology Speech Language Pathology Surgery Urology Veterinary Medicine Other
If you selected Other for your Discipline, please specify here:
Publication History

Please provide AT LEAST ONE of these identifiers as it will help in pulling information for your profile. Details on where to access this information:
• The ORCID iD is a 16-digit digital identifier that distinguishes you from other researchers. If you are signed into your ORCID account, your iD is shown below your name in the top left-hand corner. If you are not signed into ORCID, visit https://orcid.org/reset-password to recover account details.
• The NCBI MyBibliography URL is typically included in biosketches. If you do not have this URL, please reference directions for accessing your NCBI public URL here: https://www.ncbi.nlm.nih.gov/account/
• ResearcherID info here: https://www.researcherid.com/#rid-for-researchers
• Scopus Author Identifier info here: https://www.scopus.com/
What other names have you published under?
ORCID iD Number (XXXX-XXXX-XXXX-XXXX)

The ORCID iD is a 16-digit digital identifier that distinguishes you from other researchers. If you are signed into your ORCID account, your iD is shown below your name in the top left hand corner. If you are not signed into ORCID, visit https://orcid.org/reset-password to recover account details.
NCBI MyBibliography URL (Public)

The NCBI MyBibliography URL is typically included in biosketches. If you do not have this URL, please reference directions for accessing your NCBI public URL here: https://www.ncbi.nlm.nih.gov/account/
ResearcherID

More information here: https://www.researcherid.com/#rid-for-researchers
Scopus Author Identifier

More information here: https://www.scopus.com/
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American Federation for Aging Research (AFAR) Inc.

The Basics

Profile Picture

Position(s) & Discipline(s)

Publication History

Please continue to Page 2 of this form by pressing "Submit" below.