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Cancer Research Internships for US Medical Students

A limited number of summer research internships are available from medical students who have completed their 1^st or 2^nd year at a U.S. medical school. No financial support is provided for these internships. This form should not be used if you are a Medical Student from Jacobs School of Medicine applying to the HSSP.

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

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Personal (permanent) e-mail address:

* must provide value

Personal/cell phone number:

* must provide value

The following information is requested on a voluntary basis. It is being collected only for the purposes of understanding the demographics of our applicant pool. The information will not be considered in review of your application.

Race:

* must provide value

American Indian or Alaskan Native

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

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

I decline to report

Gender:

* must provide value

Male

Female

Other

I decline to report

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Other:

* must provide value

Name of Medical School you are currently enrolled in:

* must provide value

What year of Medical School are you currently in?

* must provide value

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

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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

* must provide value

Upload file

Please upload a copy of your current unofficial medical school transcript:

* must provide value

Upload file

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