Summer Scholar Program Application

Agreement: *

By checking this box, I agree to the terms of the program. I understand that my acceptance into the the program is dependent upon my full participation including, but not limited to, the dates listed above.

Last Name: *

First Name: *

College or School of Veterinary Medicine enrolled: *

Have you been in touch with a specific faculty mentor about a possible summer scholar research project?: *

Yes

Mentor, if contacted already: *

Please note the name of the faculty mentor and the project title, if you have already established a mentor contact/relationship.

Year in DVM Program: *

First-year DVM

Second-year DVM

Address: *

City: *

State: *

Zip: *

Email: *

Site preferences for program: *

ISU - Ames

UN - Lincoln

Mentor Abstract Ranking #1: *

Mentor Abstract Ranking #2: *

Mentor Abstract Ranking #3: *

Please provide the names and day-time phone numbers of two references:

Reference 1 name: *

Reference 1 position/title: *

Reference 1 phone: *

Reference 2 name: *

Reference 2 position/title: *

Reference 2 phone: *

Personal Statement and Career Goals: *

Brief description to include long-range professional goals; educational and personal experiences that you consider relevant to your career goals; benefits you hope to gain from the veterinary research scholar program; why this program interests you and what you will bring to the program.

Not to exceed 350 words.

Brief Resume: *

Please include: Your student ID, work or lab experience, presentations and / or publications, organizations, honors and / or awards, and other personal interests or hobbies. Please be sure to include a section on Education and list undergraduate degree(s), undergraduate institution(s) attended, GPA, years attended, and year(s) degree(s) earned.
Also, include a valid email address and cell phone number.

Not to exceed one page.

Please indicate that you are one of the following: *

U.S. Citizen

Permanent Resident

International Student

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Veterinary Summer Research Scholar Program Application

The mentor abstracts will be posted as a PDF file to the website by mid-January 2013. You will need to use this PDF file to list your top three projects on your application. Your application is not considered complete without these rankings.