BioXFEL Summer Internship Application 2017
We are now accepting applications for the Summer of 2017 BioXFEL Internship Program. Please be sure to submit all materials. Email internships@bioxfel.org with any questions.
Email address *
Current Contact Information
Last Name *
Your answer
First Name *
Your answer
Current Address *
Your answer
Phone Number *
Your answer
E-mail *
Your answer
Permanent Address
Your answer
Emergency Contact Info
Name
Your answer
Phone
Your answer
Academics
Current Institution *
Your answer
Other Universities or Colleges Attended
Your answer
Overall GPA
Your answer
Academic Standing as of September 2017
Expected Graduation Date
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Major(s)
Your answer
Major GPA
Your answer
Minors (if applicable)
Your answer
Personal Info
Date of Birth
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/
YYYY
Birthplace
Your answer
Gender *
Ethnicity *
Citizenship *
Must be a U.S. citizen, U.S. national, or permanent resident of the United States in order to receive funding from NSF for training purposes
Permanent Resident #
Your answer
International?
Other Information
Your answer
Research Interests and Prior Experience
Prior research experience is not required
Previous Experiences
What research areas do you find most interesting?
Your answer
Do you have any experience conducting research?
If so, please describe.
Your answer
Please list any courses you have taken that you feel would benefit you during your BioXFEL Summer Research Internship
Your answer
Please indicate if you are currently a participant in a funded program, or a similar mechanism at your school
Post-Graduation Plans *
If pursuing a further degree, in what field? (if known)
Your answer
Internship Location Preference *
Personal Statement
Your answer
A copy of your responses will be emailed to the address you provided.
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