College of Graduate Studies

Graduate Studies : Summer Research Program

Application to the Summer Research Program

This form contains essay questions.
We suggest you complete those in a word processor first and then copy & paste them into the form. Please limit your essays to 100 words each.
Submission of this form is final.

Contact: Debbie Shoemaker, shoemakd@musc.edu, 843-876-2408
Deadline:February 15, 2013

Fields marked with * are required.

First Name:*

Last Name:*

Date of Birth (mm/dd/yyyy):*

Sex:

School Mailing Address

Address:*

City:*

State:*

Zip:*

Permanent Mailing Address

Address:*

City:*

State:*

Zip:*

Phone:*

Alternate Phone:

Email:*

Alternate Email:

Citizenship

Select One:

If not a US Citizen, of which country are you a citizen?

If you have a permanent resident alien (green) card, please provide number on card:

Ethnicity

Are you Hispanic or Latino?

What is your racial background?

References

Please request references from two individuals familiar with your work in a laboratory setting (faculty members, mentors, etc...). If this is your first laboratory experience, request the references from two faculty members. Provide the names, titles and departments of the faculty members from whom you are requesting references in the space below.

(required)*

Educational Background

Beginning with the institution you are currently attending, please list the colleges/universities/high school you have attended. (at least one is required)

Most Recent or Current School

Name & Location of School*

Major*

(Expected) Degree*

Graduation Date*

Overall GPA*

Previous School 1

Name & Location of School

Major

(Expected) Degree

Graduation Date

Overall GPA

Previous School 2

Name & Location of School

Major

(Expected) Degree

Graduation Date

Overall GPA

Previous School 3

Name & Location of School

Major

(Expected) Degree

Graduation Date

Overall GPA

Availability and Housing

Are you available to participate from May 28 2013 continuously until August 2, 2013?

Yes No

Please indicate your housing arrangements should you be accepted:

Research Interests

Please select your top four research interests:

1)*

2)*

3)*

4)*

Essays

Why are you applying to the MUSC Summer Undergraduate Research Program?

(Limit 100 words)*

What are your career goals? (Limit 100 words)*

How will this experience help you meet these goals?

(Limit 100 words)*

Describe any past experiences that have led you to your interest in research and in specific areas of research offered at MUSC.

(Limit 100 words)*

Information For

University

Medical

Help & Contacts

Application to the Summer Research Program