REPID Application
Personal Information
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Education
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Courses
Please mark the courses you are currently taking or have already taken.
If you will be taking any of these courses in the future, please denote which course and when you plan on taking said course.
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Research Interests
Please mark all areas of research that interest you.
Further Qualifications
Please read the information below before checking all that apply.

This grant is specifically intended for students from underrepresented, minority, and disadvantaged groups in the biomedical field according to National Institute of Health (NIH) and the National Science Foundation (NSF). The following racial and ethnic groups have been shown to be underrepresented in biomedical research: African Americans, Hispanic Americans, Native Americans, Alaskan Natives, Hawaiian Natives, and natives of the US Pacific Islands. In addition, it is recognized that under-representation can vary from setting to setting and individuals from racial or ethnic groups that can be convincingly demonstrated to be underrepresented by the grantee institution should be included in the recruitment and retention plan. The goal of REPID is to inspire students to pursue careers in health-related research. For more information please visit nih.gov.


*: by checking this option, you are giving the REPID-HR Program permission to verify your registration with the Resource Center for Persons with Disabilities (RCPD).

1**: Individuals who come from a family with an annual income below established low-income thresholds. These thresholds are based on family size, published by the U.S. Bureau of the Census; adjusted annually for changes in the Consumer Price index; and adjusted by the Secretary for use in all health professions programs. The Secretary periodically publishes these income levels at: http://aspe.hhs.gov/poverty/index.shtml/. For individuals from low income backgrounds, the institution must be able to demonstrate that such candidates (a) have qualified for Federal disadvantages assistance; or (b) have received any of the following student loans: Health Professional Student Loans (HPSL), Loans for Disadvantaged Student Program; or have received scholarships from the U.S. Department of Health and Human Services under the Scholarship for Individuals with Exceptional Financial Need.

2***: Individuals who come from a social, cultural, or educational environment such as that found in certain rural or inner-city environments that have demonstrably and recently directly inhibited the individual from obtaining the knowledge, skills, and abilities necessary to develop and participate in a research career. Recruitment and retention plans related to a disadvantaged background are most applicable to high school and perhaps undergraduate candidates, but would be more difficult to justify for individuals beyond that level of achievement.

I am a(n):
MED 492 Course
If admitted to the REPID-HR Program, each scholar must enroll in the MED 492-Basics and Methods in Biomedical Research course for two credits offered in the spring semester. This course is offered Online-Live on Thursday afternoons from 2-4 p.m. Please mark below that you acknowledge that if admitted to the program, you will be able to attend this course each week at this designated time.
Will you be able to attend this course?
Letters of Recomendation
The applicant is required to submit three letters of recommendation with their application. Two of the three recommendations is required to be from a Michigan State University faculty or staff member. If you are a transfer student, you may use faculty or staff from your previous institution.

List three individuals who will be writing letters of recommendation regarding your qualifications for the REPID Program and can attest to your motivation and interest in research. All letters should be electronically sent, in PDF format, from the writer to the REPID office at repid@msu.edu.

Letter of Recomendation Writer's Information
Name of First Individual *
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Department/Position *
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Institution *
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E-Mail *
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Name of Second Individual *
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Department/Position *
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Insititution *
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E-Mail *
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Name of Third Individual *
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Additional Application Materials
In addition to the application, please include:

1. Your resume/CV. (PDF only) (file title: cv_yourlastname.pdf)

2. A statement of purpose and reasons why you wish to receive training and experience. Please elaborate on what type of research interests you the most and why it interests you.

Please submit both 1 and 2 (above) to the REPID Program at:

repid@msu.edu

3. Your official transcript from institutions where degree(s) have been/or will be awarded. Please send official transcript electronically to the REPID Program at repid@msu.edu. If your institution does not allow electronic transcripts, please send the transcript to the following:

MSU REPID Program
B-420 Clinical Center
788 Service Road
East Lansing, MI 48824

Department/Position *
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Insititution *
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Signature
I declare the information on this form and all attachments are true, correct, and complete. I waive the right to access my letters of recommendation
Electronic Signature: *
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Today's Date *
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Questions
Please direct all questions to the REPID Office. You can contact us by:

E-mail: repid@msu.edu
Phone: 517-432-8653

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