Application Form for
2017-2018 Research Internships
for HSTA Scholars at West Virginia University and Marshall University
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 2017-2018 Research Internship program for HSTA graduates sponsored by the WV-INBRE which will run through the 2017-2018 academic year. Participation is open to all HSTA graduates who are enrolled full-time at West Virginia University or Marshall University and who will have not graduated by August 2018. Six internships (3 for WVU / 3 for MU) are available for the 2017-2018 academic year. Applications from women and members of minority groups are especially encouraged. Compensation of $10.00/hour for a maximum of 15 hours/week for 25 weeks will be provided to each intern. Internships will begin around October 1, 2017 and end before April 30, 2018. Research opportunities exist in various biomedical labs at West Virginia University and Marshall University. Please review the WV-INBRE WVU/Marshall Mentors Directory located at http://www.wv-inbre.net and at http://www.wv-hsta.org at the WV-INBRE link.

All interns will prepare an abstract and present the results of their research project at the 2018 Summer Research Symposium at West Virginia University in July 2018.

A completed application will include: completed application form online, WVU or Marshall University transcript, and 2 letters of recommendation. All materials are due at the WV-INBRE office by September 1, 2017. Decisions will be made by September 15, 2017.

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:    

Degree Sought (BS, BA, MS, MA):

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:

Degree Sought (BS, BA, MS, MA):

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 9/1/2017.

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.