Application Form for
2011-2012 Research Internships
for HSTA Program Graduate Undergraduates
in the West Virginia IDeA Network of Biomedical Research
Excellence (WV-INBRE) Research Program
General Guidelines and Information
Applications are requested for participation in the 2011-2012 Research Internship program for HSTA graduates sponsored by the WV-INBRE which will run through the 2011-2012 academic year. Participation is open to all HSTA graduates who are enrolled full-time at a WV-INBRE funded partner institution and who will have not graduated by August 2012. Students at WVU and Marshall are not eligible to participate. Applications from women and members of minority groups are especially encouraged. Compensation of $10.00/hour for as many as 20 hours/week for up to 25 weeks during the academic year will be provided to each intern. The number of positions available during the academic year has not been determined yet. Research opportunities exist in biomedical labs at the following WV-INBRE-funded laboratories at WV-INBRE partner institutions. Please review the WV-INBRE Mentors at Partner institutions Directory located at http://www.wv-inbre.net and at http://www.wv-hsta.org at the WV-INBRE link.
|
Investigator |
Institution |
|
Dr. Yi Charlie Chen |
Alderson-Broaddus College |
|
Dr. Haitao Luo |
Alderson-Broaddus College |
|
Dr. Tesfaye Belay |
Bluefield State College |
|
Dr. Seyung-yun Kim |
Shepherd University |
|
Dr. Gagan Kaushal |
University of Charleston |
|
Dr. Rebecca Linger |
University of Charleston |
|
Dr. Jarrett Aguilar |
West Liberty University |
|
Dr. Robert Kreisberg |
West Liberty University |
|
Dr. Gerald Hankins |
West Virginia State University |
|
Dr. Robert Harris |
West Virginia State University |
|
Dr. Timothy Troyer |
West Virginia Wesleyan College |
|
Dr. Robert Shurina |
Wheeling Jesuit University |
All interns will prepare an abstract and present the results of their research project at the 2012 Summer Research Symposium at West Virginia University on July 26, 2012.
All materials are due at the WV-INBRE office as soon as possible for this academic year. Applicants will be notified of their status as soon as information is reviewed and deemed acceptable.
PLEASE READ THE INSTRUCTIONS CAREFULLY AND FILL OUT THE APPLICATION FORM COMPLETELY
If you have questions about this internship program, please contact
Valerie A. Watson at West Virginia University, (304) 293-4120; vwatson@hsc.wvu.edu
Personal Information
First Name:
Middle Name:
Last Name:
Date of Birth:
SSN:
Gender:
Citizenship:
Visa status if a non-US Citizen:
Present Address (e.g., School Address)
Street Address:
Apt./Box Number:
City:
State:
ZIP:
Current Phone:
Email Address:
Permanent Address (e.g., Home Address)
* If different from "Present Address" and where you
can be contacted after school year is completed in May.
Street Address:
Apt./Box Number:
City:
State:
ZIP:
Permanent Phone:
Email Address:
Education
* If you have attended more than one
college/university, list the most recent one first. Please submit a copy
of transcripts from all institutions you have attended. Please request
transcripts as soon as possible as we must have them to evaluate your
application.
College/University now attending:
Street Address:
Box Number:
City:
State:
ZIP:
Program of Study:
Major Field:
Major Field:
Major GPA:
Overall GPA:
Date you began:
Expected Date of Graduation:
Honors and Awards from the College/University now attending::
Date:
Description:
Date:
Description:
Date:
Description:
Date:
Description:
Date:
Description:
Date:
Description:
Previous Education
Previous College/University:
Street Address:
Box Number:
City:
State:
ZIP:
Program of Study:
Major Field:
Major GPA:
Overall GPA:
Dates Attended:
Honors and Awards from previous Colleges/Universities:
Date:
Description:
Date:
Description:
Date:
Description:
Date:
Description:
Date:
Description:
Date:
Description:
Briefly describe your scientific interests.
Briefly describe your career goals.
Briefly describe any prior research experience, including the WV-INBRE program, and how this prepares you to participate in this research program.
Briefly explain why you wish to participate in this program.
Requested Mentors::
* List the names of up to four mentors in whose labs
you would agree to work during this program and why each is of interest to you.
List them in order (your first choice being #1).You will be matched with one of
these four; we cannot guarantee that you will receive your first choice. If it
is not possible to match you with any of your selections, you will be contacted
for other choices.
1)
2)
3)
4)
Recommendations:
* Please indicate the names, titles and phone numbers
of two professors who have agreed to write letters of recommendation on your
behalf. Please have them send their letters to the WV-INBRE office AS SOON AS
POSSIBLE. Letters can be sent electronically if desired; send them to
vsanders@hsc.wvu.edu
Name:
Email Address:
Title:
Phone:
Name:
Email Address:
Title:
Phone:
Outside research experience::
* If you have had research experience outside of your
institution, including previous WV-INBRE Summer Research Programs, provide the
name, title, affiliation and phone number of your supervisor / summer mentor,
and please ask this person to write a letter of recommendation on your behalf.
Name:
Email Address:
Title:
Phone:
Affiliation:
Deadline for receipt of all applications for this academic year is as soon as
possible.
Please supply a stamped envelope to your references with the following address:
Ms. Vickie Sanders
WV-INBRE Office
HSTA Graduate Research Internship Program
PO Box 9177
Robert C. Byrd Health Sciences Center of West Virginia University
Morgantown, WV 26506-9177
Ms. Sanders can also be reached at
vsanders@hsc.wvu.edu or (304) 293-0775
Enter your initials in the following box. By doing so, you submit that all
information contained within this application is accurate and a true
representation of the applicant.