Summer Research Training Program Application

Instructions

Thank you for your interest in the NIH/Merial Summer Research Fellowships. Please read the following instructions carefully.

University of Pennsylvania Applicants

Please submit the following:

Completed application package (online)
Transcripts, official or unofficial, from each institution you’ve attended, including Penn Vet
Copy of GRE scores (photocopies acceptable)
Complete Faculty Sponsor Recommendation/Commitment Form

Outside Applicants

Please submit the following:

Completed application package (online)
Official transcripts from each institution you’ve attended, including current veterinary school transcripts
Copy of GRE scores (photocopies acceptable)
Complete Faculty Sponsor Recommendation/Commitment Form

Please send materials to:

Dr. Michael Atchison
School of Veterinary Medicine
University of Pennsylvania
3800 Spruce Street

Philadelphia, PA 19104-6046

If your proposal contains photos, tables or figures, please email the proposal as an attachment to Mike Atchison (atchison@vet.upenn.edu), and enter "emailed as attachment" in section 3 of the form below.

Application deadline: February 1

The University of Pennsylvania admits students of any race, color, sex, sexual or affectional preference, age, religion, national or ethnic origin or physical handicap, to all the rights, privileges, programs and activities generally accorded or made available to students at the school. The University does not discriminate on the basis of race, color, sex, sexual or affectional preference, age, religion or ethnic origin or physical handicap. The University's policy applies to faculty and other employees, applicants for faculty position and other employment, students and applicants to education programs and activities.

First Name

Last Name

Permanent Address

Address 1

City

Country

Address 2

State, Province or Region

Zip or Postal Code

School Address

Address 1

City

Country

Address 2

State, Province or Region

Zip or Postal Code

Personal Information

Telephone

Date of Birth

(mm/dd/yyyy)

Type of Visa

Email Address

Citizenship

Ethnic Identity

The completion of this question is not required. The purpose is to assess the effectiveness of the University's recruitment efforts and to facilitate selection of a diverse student body. Since the University does not discriminate on the basis of race or ethnic origin, the answer or the omission of an answer will not influence the University's decision on admission.

Ethnic Identity (optional)

American Indian
Asian American
Black or African American
Caucasian
Hispanic
Native Hawaiian or Other Pacific Islander
Eskimo or Aleutian
Other

Faculty Sponsor Information

Name

Phone

Address

Education After High School

Please enter the following information for each instance:

Name and location of Institution
Department
Dates of attendance
Degree or diploma
Major
Graduation date (month/year)
Cumulative GPA

Education Detail

GRE Date Taken (mm/dd/yyyy)

Analytical

Quantitative

Verbal

Total GRE Score

Score

GRE Date Taken (mm/dd/yyyy)

Advanced subjects (if any)

Applicant's Background Information

1. Please provide a brief description of your research experience.

2. What are your current interest areas in the Medical Sciences and what are your future objectives?

Please provide a description of your proposed research project (not exceeding 3 pages)

Please include: a) Title b) Objective c) Overall Approach d) Budget e) Animal Care Committee approval, if animals are used. The budget is requested to assure that the mentor is aware of the costs necessary for completion of the work.

Authorization

By submission of this application, your authorize the release of any information contained in, or related materials received separately from, the application for admission for use in reviewing your application to the NIH/Merck Summer Research Training Program.

Copy of Applicaiton

Also send me a copy