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IMMIGRATION HISTORY FORM Name: ______________________________________ UTSW Supervisors’ Name: ______________________________________ If you are currently in the U.S. or have been in the U.S. previously, please outline your immigration history for the six year period preceding this application: DATES IN NAME OF SPONSORING UNIVERISTY IMMIGRATION STATUS U.S. OR COMPANY From To

FACT SHEET FOR H-1B PETITIONS (TO BE COMPLETED BY APPLICANT) Name of Applicant Date of Birth Social Security Number (if applicable) Province & Country of Birth Country of Citizenship Address and Phone Number in Home Country U.S. embassy/consulate where you will apply for your first H-1B visa stamp if you are currently outside the U.S. or are unable to change your status in the U.S. E-Mail Address Have you or any of your family members been in the U.S. in H status

(INSTRUCTIONS: Please edit the text of this letter and print on departmental letterhead for signature) AGREEMENT TO PAY RETURN TRANSPORTATION COSTS FOR H-1B NONIMMIGRANT The Department of requests that the university petition the U.S. Citizenship and Immigration Services for an H-1B visa for , a nonimmigrant from . In the event that the department terminates the employment of this visitor prior to the expiration of the approved H-1B visa, the department agrees to pay return air

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Inherited: Familial Partial Lipodystrophies, other Types Familial Partial Lipodystrophy- PPAR gamma (Peroxisome Proliferator Activated Receptor- γ) gene mutations Only about twenty patients with FPL due to heterozygous mutation in PPARG have been reported so far. It is either much less common than FPL, Dunnigan variety or is less recognized likely due to milder phenotype. We recently reported heterozygous mutation (Arg397Cys) of peroxisome proliferator-activated receptor gamma

Inherited: Familial Partial Lipodystrophy - Mandibuloacral Dysplasia Variety (FPL-MAD) Mandibuloacral dysplasia (MAD) is a rare autosomal recessive syndrome characterized by mandibular hypoplasia, delayed cranial suture closure, dysplastic clavicals, abbreviated and club- shaped terminal phalanges, acroosteolysis, and atrophy of the skin of the hands and feet, and typical facial changes. The syndrome is also associated with lipodystrophy and clinical features of metabolic sundrome

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Research highlights for the Division of Cardiology at UT Southwestern.

Emergency Medicine offers two ultrasound rotations for medical students at UT Southwestern.

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