Application Form for Combined Summer Undergraduate Research Opportunity

Registration - Start (0/13)

Karen J. Zirpola-Miller
Program Administrator
Summer Research Programs
Office of School Services

University of Massachusetts Medical School
55 Lake Avenue North, Room S3-104
Worcester, MA 01655
FAX (508) 856-4888

Application Instructions:

A completed application, along with:

  • A minimum of two (2) letters of recommendation are required. Use the form provided. Save the form to your computer. Place YOUR NAME and YOUR EMAIL address in the space provided. Forward the form to the person(s) you are requesting a recommendation from. The forms must be returned by the RECOMMENDER directly to the this office by email or regular mail by March 13, 2015 in order for the application to be considered. Directions for the RECOMMENDER are on the form.
  • Official college transcript(s) sent directly to us unopened.
  • A personal statement (email 1-2 pages describing some of your personal background and interests, also why you would like to be part of this research program).
  • Current resume (email).

All materials must be received by March 13th in order to be eligible.

Be sure to answer all questions. Limit your answers to all questions to 2000 characters. Please note that we will not process an application unless your Home Email entry is different from your College Email.

This application is handled under SSL encrypted security (https://) for the protection of your sensitive confidential information.

Please include Country/City/Area Code on all Telephone numbers. These numbers are not being validated for you due to the possible variations in world-wide formats. Preferred format for US numbers is with spacing between number groups, no punctuation. (e.g. 508 856 8989)

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