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Summer Research Experience Program in Cancer (SURE-CAN) Application

Instructions: This application is for current college juniors only. Before completing the application, please take the following steps:

1. 1. Prepare a personal statement that answers the following questions (in 300 words or less):

a. What are your education and career goals, and what is your motivation towards the goals you have chosen for yourself?

b. How will an internship in a cancer research laboratory help you to achieve your education and career goals?

c. What knowledge, skills and insights do you hope to attain from a cancer research training experience?

2. 2. Review the Mentor Directory for Summer 2026 and compile a list of those mentors whose laboratories you seek to join for the summer internship.

3. 3. Identify an individual who will provide a letter of reference for you. Compile their contact information.

4. Please have an unofficial transcript readily available to upload.

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

Please verify you are currently:

* must provide value

College Junior

College Sophomore in the SUNY C-STEP Program

College Sophomore in the LSAMP Program

College Sophomore in the McNair C-STEP Program

None of the above

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Please verify you are a U.S. citizen or Permanent resident

* must provide value

Yes

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Personal/cell phone number:

* must provide value

Personal (permanent) e-mail address:

* must provide value

School e-mail address:

* 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

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

Please identify any of the financial aid programs for which you are eligible. This information can be found on the Student Aid Report that is created when applying for federal student aid using the FAFSA form:

* must provide value

Federal Supplemental Educational Opportunity Grant

Federal Pell Grant

Low-income household

Scholarships for Disadvantaged Students

Not applicable

I decline to report

Highest degree received by anyone in your immediate family (parents or siblings):

* must provide value

High School Diploma

Associate's degree

Bachelor's Degree

Masters Degree

Doctoral Degree (MD, PhD, etc)

I decline to report

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Is anyone in your immediate family (parents or siblings) currently working in a scientific or health-related field?

* must provide value

Yes

I decline to report

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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 College):

Cumulative Overall College GPA:

* must provide value

Cumulative Overall 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

Please upload an unofficial college transcript.

Please label the file name as LastName,First Name_Transcript (example: Smith,John_Transcript)

* must provide value

Upload file

Awards and achievements:

* must provide value

Expand

Science Related Co-Curricular Activities:

* must provide value

Expand

Leadership Opportunities:

* must provide value

Expand

Service Activities:

* must provide value

Expand

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

* 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 do you have prior research experience?

* must provide value

Yes

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Have you given a scientific talk or presentation based on research you have conducted?

* must provide value

Yes

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Please select the statement that best describes your plans after college graduation:

* must provide value

Take time off

Apply to MS program

Apply to PhD program

Apply to MD/PhD program

Apply to Medical School (MD or DO)

Apply to PA school

Undecided

Other

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Other goal:

* must provide value

Please select the statement that best describes your current career goals:

* must provide value

I am unsure of my future career goals

I am interested in pursuing a career in science and/or medicine

I am interested in pursuing a career specifically in cancer science and/or oncology

I plan to pursue a career outside of science or medicine.

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Please copy your personal statement here. Be sure to provide a response to all 3 required parts of the statement in 300 words or less:

a. What are your education and career goals, and what is your motivation towards the goals you have chosen for yourself?
b. How will an internship in a cancer research laboratory help you to achieve your education and career goals?
c. What knowledge, skills and insights do you hope to attain from a cancer research training experience?

* must provide value

Expand

First choice mentor:

* must provide value

Second choice mentor:

* must provide value

Third choice mentor:

* must provide value

Provide contact information for a reference. References should be a science professor, research supervisor or advisor who can assess your scientific skills and passion for science. 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 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.

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 for the purpose of evaluating my application to the summer educational program. I also authorize employees of Roswell Park 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 or through my current school.

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