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Summer Research Experience Program in Cancer Science Online Application

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INSTRUCTIONS:
This application is for the college students. To make completing the application efficient, it is suggested that applicants prepare in advance and have on hand the following resources:
1. A prepared personal statement based on the sample provided at the instructions page.
2. The Mentor Directory containing the list of available summer mentors and their research projects.
3. An unofficial transcript.
4. Contact information for 1 reference. **The deadline for references to submit online recommendation is February 6th.

SAVING PROGRESS: You can save your progress on the application and complete later by clicking the "Save" button located at the very bottom of the application. Be sure to save your personal code to re-enter the application later.

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

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Place of residency:

* must provide value

United States

Commonwealth of Puerto Rico

Northern Mariana Islands

Guam

American Samoa

Trust Territory of the Pacific

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Current enrollment:

* must provide value

High School

College/University

Dental School

Medical School

PA School

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Current grade level:

* must provide value

Freshman

Sophmore (CSTEP Two-Summer Program)

Junior

Senior

Graduated

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Home/landline phone number:

* must provide value

Personal/cell phone number:

* must provide value

School/work/daytime phone number:

Personal/permanent email address:

* must provide value

School email address:

* must provide value

Mailing/Campus housing address: Dormitory or Housing Complex

Mailing/Campus housing address: Number and Street

* must provide value

Mailing/Campus housing address: City/Town

* must provide value

Mailing/Campus housing address: State

* must provide value

Mailing/Campus housing address: ZIP code

* must provide value

Residential address: Number and Street

* must provide value

Residential address: City/Town

* must provide value

Residential address: State

* must provide value

Residential address: ZIP code

* must provide value

Indicate your choice to be offered a funded internship:

* must provide value

I wish to be considered for a stipend-supported internship ONLY and will not accept a non-funded internship.

I wish to be considered for a stipend-supported internship, but I am willing to accept a non-funded internship.

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In addition to funding sources for the general applicant pool, some funding sources are available that target certain populations of applicants based on being an under-represented minority or economically disadvantaged. If you believe you qualify in one or both of these categories, answer the questions in this section to apply to these funding sources. IT IS IMPORTANT TO NOTE: Acceptance into this program and the award of a stipend is based on the merits of your application. The potential source of your stipend funding is based on how you answer the questions in this section.

The following demographic information is requested on a voluntary basis. It is being collected for purposes of tracking demographics of the applicant pool ONLY and is NOT considered in the review of applications.

Race:

African American

American Indian or Alaskan Native

Asian (originating from Far East Asia, South East Asia, Indian Subcontinent)

Pacific Islander (including Fijian, Hawaiian, Samoan)

Latino (including Mexican American; not Puerto Rican)

Puerto Rican

White, Anglo, Caucasian American (non-Hispanic)

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Check any of the following financial aid programs for which you are eligible. This information can be foundon the "Student Aid Report (SAR)" that is created from applying for federal student aid using the FAFSA form:

Federal Supplemental Educational Opportunity Grant

Federal Pell Grant

Low-income household

Scholarships for Disadvantaged Students

Gender at birth:

Male

Female

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Gender you identify as:

Are you the first generation in your family to attend college?

Yes

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Highest level of education anyone in your immediate family attended:

High School

Two-year community college

Four-year undergraduate

Graduate School (including medical school)

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Highest degree obtained by anyone in your immediate family:

High School Diploma

Associate's Degree

Bachelor's Degree

Master's Degree

Doctoral Degree (ie MD, PhD, etc)

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Is anyone in your immediate family in a scientific or health-related profession?

Yes

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Name of college or university:

* must provide value

Campus:

College address: City/Town

* must provide value

College address: State

* must provide value

Anticipated graduation date (MM/DD/YYYY):

* must provide value

M-D-Y

Current degree sought:

* must provide value

Other

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Other degree:

* must provide value

Major:

* must provide value

Minor:

Special Program (i.e. Honors):

Cumulative OVERALL GPA:

* must provide value

Cumulative SCIENCE GPA:

* must provide value

What scale is used to determine your GPA?

* must provide value

4.0

3.0

100%

Other

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Other Scale:

* must provide value

Does your school rank students based on overall GPA?

* must provide value

Yes

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Provide your class rank. Use only the numerical ranking, for instance a "1" instead "1st" or "first." If indicating a percentile rank, use only the integer. For instance, "10" for top ten percentile.

Your class rank:

* must provide value

Indicate if this is a "rank" or "percentile":

* must provide value

Number of students in your class:

* must provide value

Select courses or course equivalents you have already completed or those you will be taking in the upcoming Spring semester.

* must provide value

Biology I

Biology II

Biology III

Chemistry I

Chemistry II

Organic Chemistry I

Organic Chemistry II

Physics I

Physics II

Genetics

Molecular Biology

Cellular Biology

Biochemistry

Immunology

Microbiology

Statistics

Computer Science

Other

Other course:

* must provide value

Verbal GRE score:

Quantitative GRE score:

Verbal MCAT/DAT

Life Science MCAT/DAT score:

Physical Science MCAT/DAT score:

List SCIENCE-related co-curricular activities in which you participate(d) by category below. For multiple items in a field (i.e. more than one award) name each in most recent chronological order and separate by a comma. If none, type "None."

Awards and achievements:

* must provide value

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Society and club memberships:

* must provide value

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Officer/leadership positions:

* must provide value

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Select any of the following special academic programs in which you are currently enrolled:

College Science and Technology Entry Program (C-STEP)

Louis Stokes Alliance for Minority Participation (LSAMP)

Minority Access to Research Careers (MARC)

Minority Biomedical Research Support (MBRS)

McNAIR

Howard University Honors Program

None

Other

Other program:

* must provide value

Provide information below about the academic program that you selected in the previous question.

Does your program provide a stipend for externships?

* must provide value

Yes

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Name of institution:

* must provide value

Name of program coordinator:

* must provide value

Coordinator's email address:

* must provide value

Coordinator's phone number:

* must provide value

Allotted stipend:

* must provide value

Duration of time funded by stipend (in weeks):

* must provide value

URL to program website:

* must provide value

Are laboratory research facilities and mentorship readily available at your school or college?

* must provide value

Yes

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Have you participated in previous research internships or have prior research experience?

* must provide value

Yes

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Select the type(s) of research experience(s) in which you participated:

Extramural High School Internship

Intramural College Honors/Thesis Research

Extramural College Internship

Roswell Park Summer Research Program- High School

Informal internship at Roswell Park Cancer Institute

Other

Other type of research experience:

* must provide value

Provide the information below about your MOST RECENT research experience:

Project Title/topic:

* must provide value

Research supervisor:

* must provide value

Site of experience:

* must provide value

Site of experience: Department

* must provide value

Have you given scientific talks or presentations?

* must provide value

Yes

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Type(s) of presentation(s) given:

* must provide value

College Seminar

Invited college conference

Invited scientific conference

Provide the following information about your MOST RECENT scientific talk/presentation.

Presentation title/topic:

* must provide value

Site of talk/presentation:

* must provide value

Site of talk: City

* must provide value

Site of talk: State

* must provide value

Year of talk:

* must provide value

Select the statement that best describes your educational goal after college:

* must provide value

Take time off

Apply to MS program

Apply to PhD program

Apply to combined PhD/MD program

Apply to Medical/DO school

Apply to MPH program

Apply to PA school

Undecided

Other

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Other goal:

* must provide value

Select the statement below that best describes your current career goals:

* must provide value

I am unsure of my future career goals.

I am interested in pursuing a medical/allied health profession.

I am interested in pursuing a scientific profession.

I am interested in pursuing a profession specializing in cancer.

I am interested in pursuing a medical/allied health profession specializing in oncology.

I am interested in pursuing a scientific profession specializing in cancer research.

I am interested in pursuing a combined medical and scientific profession.

I am interested in pursuing a combined medical and scientific profession specializing in oncology/cancer research.

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Based on the education and career goals you have selected, write a personal statement which answers the following three questions in paragraph form (LIMIT TO 300 WORDS):

(1) What is your motivation towards the educational and career goals you have chosen?

(2) How will an internship in a cancer research laboratory help you to determine or achieve your education and career goals.

(3) What knowledge, skills and insight do you hope to attain from a cancer research experience?

* must provide value

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First choice mentor:

* must provide value

Second choice mentor:

* must provide value

Third choice mentor:

* must provide value

Fourth choice mentor:

* must provide value

Provide the following contact information for a reference. References should be a science professor, research supervisor or advisor who can assess your scientific skills. Be sure to request permission from the individual to serve as a reference.

An email containing a link to an on-line recommendation form will be sent to your reference to complete. To ensure timely receipt of the form: (1) be sure that the contact information you provide for your reference is accurate and (2) inform your reference that they should add the "roswellpark.org" domain to their safe-list in their email account so that it is not spam-filtered.

First name:

* must provide value

Last name

* must provide value

Academic/employment title

* must provide value

Place of employment

* must provide value

School/official email address

* must provide value

School/office phone number

* must provide value

First name

* must provide value

Last name

* must provide value

Academic/employment title

* must provide value

Place of employment

* must provide value

School/official email address

* must provide value

School/office phone number

* must provide value

How did you learn about the program?

* must provide value

Graduate school/internship recruitment fair

Internet search

Parent/guardian

Presentation by Roswell Park representative (faculty member, graduate student, etc.)

Program flyer posting at school

Program posting at internship website (other than www.roswellpark.edu)

Roswell Park employee

Roswell Park summer program alumnus

Scientific presentation by previous summer program intern

Science professor at your school

Other (please specify)

Other (describe):

If you are accepted into the program and your permanent residence is outside commuting distance to Buffalo NY, will you be seeking housing for the summer?

* must provide value

Yes

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Laboratory Coat Size:

* must provide value

Answer the following question regarding your application:

* must provide value

I authorize every school that I have attended to release all requested records and recommendations to Roswell Park Cancer Institute for the purpose of evaluating my application to the summer educational program. I also authorize employees of Roswell Park Cancer Institute to contact, in confidence, my current and former schools should they have questions about the information submitted on my behalf.

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Answer the following question to waive the right to review your recommendation and supporting application materials (This is done to assure candid responses from y our recommenders)

* must provide value

I waive my right to review all recommendations and supporting documents submitted by me or on my behalf as part of the application to the summer educational program. I understand that I will not be able to access these recommendations through Roswell Park Cancer Institute or through my current school.

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Please acknowledge the following statement regarding COVID-19

* must provide value

I acknowledge that should I be admitted to the Roswell Park Summer Research Experience Program in Cancer Science I am required to show proof that I am fully vaccinated with a COVID-19 vaccine authorized by the US Food and Drug Administration (FDA) or the World Health Organization (WHO.)

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The application fee of $35 has been waived based on how you responded to questions of financial aid eligibility. If you are accepted into the RPCI Summer Research Experience Program in Cancer Science, you may need to provide documented proof of your financial aid status.

Complete the application process by paying the $35 non-refundable application fee.

Take the following steps:
1.) Cut and paste the URL below or open the link in a new browser to navigate to the payment portal where you can pay by credit card or receive instructions to pay by check:
https://cmetracker.net/RP/Publisher?page=pubOpen#/EventID/38118

2.) Be sure when logging into the payment site, you enter the information of yourself as the applicant.

3.) HIT SUBMIT button below on application page.

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.