Online Application

Summer Program Dates (Summer 2012): May 29- August 3 (10 weeks).

Application Deadline: All application material for Summer 2012 must be received by March 15. Early applications are encouraged, since applications are reviewed on a rolling basis.

The Summer Scholars Program is aimed at providing research opportunities in all aspects of Biological or Biomedical Research to undergraduates may be considering applying to graduate (PhD) programs. The following groups of applicants are encouraged to apply for this program:

Students interested in the Ph.D. (Students who intend to apply to medical school should contact the Strong Childrens' Research Center summer program)
Matriculated sophmores and juniors that are US citizens, permanent resident aliens, or foreign students with visas from their host institutions.
Students from groups that are under-represented in the biological sciences. These groups include students with disabilities, students from certain racial/ethnic groups (see below), first-generation college students and individuals from socioeconomically disadvantaged backgrounds.
NIH recognizes racial/ethnic groups that are significantly underrepresented at advanced levels of science and engineering in the U.S. to be as follows: Native Americans (including American Indians and Alaskan Natives), African-Americans, Hispanics, and Native Pacific Islanders.
Students with a potential interest in attending graduate school at the University of Rochester School of Medicine and Dentistry are especially encouraged to apply.

Personal Information
First Name:
Middle Name :
Last Name:
Preferred Nickname (if applicable):
Date Of Birth (MM/DD/YYYY):
Gender:	Male Female

Citizenship:
US Citizen	Permanent Resident Alien	Foreign
If foreign, please state the type of visa you hold and your country of citizenship:

Present Address:
Street/Address:
Apt./Box #:
City:
State/Province:
Country:
Zip Code:
Telephone:
Email address:

Permanent Address (if different from above):
Street/Address:
Apt./Box #:
City:
State/Province:
Country:
Zip Code:
Telephone:
Email address:

Education Record:
University:
Address:
Degree (BS/BA):
Current GPA:
Area of Degree:
Matriculation Date:
Expected Date of Graduation:
If you have attended more than one undergraduate institution, please list the most recent above and include the next most recent below:
University:
Address:
Degree (BS/BA):
Current GPA:
Area of Degree:
Matriculation Date:
Expected Date of Graduation:

Please list three relevant science courses taken during the last year:
Course:		Grade:
Course:		Grade:
Course:		Grade:
Please indicate any honors or awards received (900 characters max):

We would like to know more about you. In your own words, please describe your interests and intentions below.

Please describe any prior research experience you have participated in (900 characters max):

Please explain why you wish to participate in this program (900 characters max):

Please describe your scientific interests (900 characters max):

Please describe your career goals (900 characters max):

Information to help us plan for the summer
Please indicate whether you intend to take the following standardized tests in the future:
GRE General Test	MCAT	Both

If we were to offer a GRE or MCAT preparatory course, and you could take only one of these two courses which one would you wish to take?
GRE	MCAT

If we could offer you the opportunity to have a courtesy interview with a graduate program director here at UR during the summer, would you be interested in doing so?
Mock-graduate school interview:	Yes	No

Research Project Information
Please list the names of three possible mentors at the University of Rochester Medical center:
First Mentor:
Second Mentor:
Third Mentor:

Recommendations
Please indicate the names of two professors who have agreed to write letters of recommendation:
Name:		Title:
Name:		Title:
Also, if you have a pre-med advisor, please give her/his name:
Name:		Title:

Important

After submitting this form, please have your two letters of recommendation e-mailed directly to Stephanie Corbitt and send a copy of your official college transcripts (one from each college you have attended) to:

Stephanie Corbitt
Summer Scholars Program
University of Rochester Medical Center
601 Elmwood Avenue, Box 316
Rochester, NY 14642

Recommendation letters should be e-mailed as a PDF or Word document on official school letterhead, if possible. If mailed throught the US Postal Service, only documents in signed and sealed envelopes will be accepted.
Only complete application packets including recommendations and transcripts will be reviewed.

Optional Information
For U.S. citizens and permanent residents only.
How would you describe yourself? (Please check one).
African American
American Indian or Alaskan Native
Pacific Islander (including Fijian, Hawaiian, Samoan)
Asian (including Indian subcontinent)
Hispanic (including Mexican American; not Puerto Rican)
Puerto Rican
White, Anglo, Caucasian American (non-Hispanic)
Other

Were you formerly a member of a Ronald E. McNair Program?
Yes		No
Are you currently an active member of a FASEB MARC program?
Yes		No
Are you currently an active member of a NIH Rise Program?
Yes		No
Are you a first generation college student? (this means that neither of your parents has a B.S./B.A. or equivalent 4-year degree)
Yes		No
Are you from a low-income family, as defined by federal guidelines? (click here to see a relevant income table)
Yes		No