Rutgers New Jersey Medical School

Multidisciplinary Summer Research Education Program for Health Professional Trainees

	Please fill out this form to be considered for the Summer Health Sciences Program. Applications must be submitted electronically by March 10th, 2024.

	Multidisciplinary Summer Research Education Program for Health Professional Trainees
	Rutgers Biomedical and Health Sciences
	summerscience@njms.rutgers.edu

Contact Information
*First Name
*Last Name
University Email
*Preferred Email
*Phone

Current Address
*Street
*City
*State
*Zip Code

Permanent Address If Different From Above
Street
City
State
Zip Code

Previous Research
*Do you have previous research experience? If yes, answer Questions... Yes No
Please list any publication(s) (abstracts, book chapter, review article, original article) (Please enter up to 1000 characters) characters left

Research Areas of Interest
Select two potential mentors from the list shown here (Please enter up to 100 characters)* characters left
*Have you contacted a research mentor from this list? Yes No
*If yes, please indicate mentor's name

Letters of Recommendation
Two letters of recommendation are required before March 10th, 2024. At least one letter should be from a research mentor if applicable. The program will reach out directly to the recommenders with a link to submit their letters.

#1
*First Name
*Last Name
*Title or Position
*Email
*Phone

#2
*First Name
*Last Name
*Title or Position
*Email
*Phone

*I WAIVE MY RIGHT TO ACCESS THE LETTERS OF RECOMMENDATION

Curriculum Vitae
Please upload the following two documents, each as a single pdf file:
• Curriculum Vitae or Resume
• Personal Statement (1 page limit; single spaced), describing:
- Your career plans beyond your current program
- What you hope to gain from this experience and how it will advance your career goals.
- Previous research experience
- mention your research mentors and briefly describe your research

Curriculum Vitae (limited to 2MB)*

Personal Statement (limited to 2MB)*

Additional Supporting File (limited to 2MB)

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