INBRE Summer Program Application

REGISTRATION FORM
Application deadline, February 28, 2010


NOTE:  Please be sure to answer all of the questions. We recommend that you type out your responses to the essay questions in a Word document prior to completing the application. Then you can cut and paste your responses into the application form below.
 

Check one:
Biomedical Summer Research Program (Science majors, e.g., biology & chemistry)
Bioinformatics Summer Research Program (Math & computer science majors)

 

First Name:  
Last Name:  
Address:  
City:  
State, Zip      
E-mail Address:  
Cell Phone:  
US Citizen Yes
No
Date & Place of birth:  
Institution:  
Major:  
Anticipated year of graduation:  
Science & Math GPA  
Cumulative GPA  
Date GRE was/will be taken:
Date MCAT was/will be taken:
Name, address, and phone number of science/math professor you have asked for a recommendation.  
Name, address, and phone numbers of science/math professor you have asked for a recommendation.  
1st Campus Preference
List your first three choices among the various research projects listed for this campus.  
2nd Campus Preference
List your first 3 choices among the various research projects listed for this campus.
Please explain your mentor choices.
 
Describe your plans for future professional or graduate education and eventual plans for a career.
 
How will a summer research experience contribute to your career goals?
 

I will require summer housing
Yes
No

Please submit a complete application, including letters of recommendations, addresses to Dr. Cornett, and your transcript by February 28, 2010. Late and incomplete applications will not be considered.

Please send all recommendation letters and a copy of your transcripts to:

Arkansas INBRE Program
University of Arkansas for Medical Sciences
4301 W. Markham #818
Little Rock, AR  72205
phone (501) 526-6503

Fax (501) 526-6873
 

 


    


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