Cancer Research Internship Inquiry Form

A limited number of summer research internships are available each year. No financial support is provided for these internships. If you are interested in a non-paid research internship at Roswell Park, please complete the Inquiry form below.

NOTE: You will enter information in the online application below. You can save your progress on the application and complete it later by clicking the "SAVE" button at the bottom of the application. You will require your personal code in order to re-enter the application at a later time.

First name:

* must provide value

Middle name:

Last name:

* must provide value

Suffix:

Date of birth (MM-DD-YYYY):

* must provide value

M-D-Y

Citizenship:

* must provide value

U.S. citizen

Permanent resident

Foreign national

reset

Personal (permanent) e-mail address:

* must provide value

Personal/cell phone number:

* must provide value

Name of School you are currently enrolled in:

* must provide value

School level:

* must provide value

High School

College

reset

What grade/year are you currently in?

* must provide value

Freshman

Sophomore

Junior

Senior

reset

Is there a specific cancer research field(s) you are interested in?

* must provide value

Please list the specific Faculty mentor(s) that you are most interested in? (You must only list mentors who are at an Assistant Professor, Associate Professor or Professor level)

* must provide value

In 250 words or less, please describe your goals for participating in a research internship at Roswell Park?

* must provide value

Expand

Internship Timeline

Please list your start and end dates of your availability.

* must provide value

Weekly availability (hours):

* must provide value

Please upload your current CV/resume.

* must provide value

Upload file

Please upload a copy of your current unofficial school transcript:

* must provide value

Upload file

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.