PREP Online Application

Personal Information






Citizenship
Minority status

Please indicate which of the following reflects your background:







Intention to enroll in a Ph.D. within two years

Please indicate whether you intend to apply to, and enroll in, a Ph.D. program within 2 years of starting this PREP:



Present Address






Permanent Address

(if different than above)








Education Record






If you have attended more than one undergraduate institution, please list the most recent above and include the next most recent below:








Please list three relevant science courses taken during the last year.







Please indicate any honors or awards received.


Other Information

Please answer the following questions:

Briefly describe any prior research experience.


Briefly explain why you wish to participate in this program.


Briefly describe your scientific interests.


Briefly describe your career goals.

Research Project Information

Please list the names of three possible mentors in the UR PREP program:




Recommendations:

Please indicate the names of two professors who have agreed to write letters of recommendation.





Letters of recommendation and official transcript(s) must be mailed directly to the PREP Program Director. Please supply a stamped envelope to your professors with the following address:


Dr. Edith Lord
University of Rochester Medical Center
601 Elmwood Avenue, Box 316P
Rochester, NY 14642