Biomedical Sciences Summer Research Program 2019
Last Name *
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First Name
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Middle Initial
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Address *
Please provide an address, phone number and an email at which you can be contacted during the Spring Semester regarding your status within the program.
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Phone *
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Email *
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US Citizenship *
Are you currently a Marquette University employee?
Ethnic Background (optional; check all that apply):
Do you identify as either of the following?
Are you participating in any of the following programs?
MU ID # (if Marquette Student)
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College/University
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Major/Area of Study
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Current Class (check one)
Overall GPA
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BISC GPA (If a Biomedical Science Major)
Your answer
Academic Course Information
If accepted to the Summer Research Program, you will be required to submit an official transcript to confirm your spot.
Science Courses Completed (include name and course #) and Letter Grade
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Science Courses Enrolled in for the Spring Semester
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Laboratory Experience (course-related or other)
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References
Please provide the names of and contact information for two instructors and/or academic advisors who are willing to serve as references for you. Please do not arrange for reference letters sent to the program.The references will only be contacted if during the review process further information is desired about the applicant.
Reference 1 Name
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Relationship
Your answer
Phone
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E-mail
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Reference 2 Name
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Relationship
Your answer
Phone
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Email
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Faculty Mentor Choice 1
Faculty Mentor Choice 2
Faculty Mentor Choice 3
Personal Statement
Please include a statement (500 words maximum) describing:
1) your interests in biomedical research; 2) how you feel that participation in the program will help you achieve your career goals; and 3) why you feel that you are qualified to participate in the program.
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Applications must be submitted by February 1, 2019 in order to be considered.
Please direct any questions via e-mail to Ms. Autumn Swanson, autumn.swanson@marquette.edu
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