University of Pennsylvania: School of Veterinary Medicine

Instructions for Completion of the Summer Research Training Program Application

Thank you for you interest in the NIH/Merck 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

to:

Dr. Michael Atchison
School of Veterinary Medicine
University of Pennsylvania
3800 Spruce Street
Philadelphia, PA 19104-6046

Application deadline: January 31

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.

Name:

Permanent Address
Address 1:
Address 2:
City:			State, Province or Region:
Country:			Zip or Postal Code:

School Address If same as above, enter 'Same'
Address 1:
Address 2:
City:			State, Province or Region:
Country:			Zip or Postal Code:

Personal Information
Telephone:		Email Address:
Date of Birth:	/ /	Social Security Number:
Citizenship:		Type of Visa:

* Ethnic Identity (optional):
American Indian
Asian-American
Black
Caucasian
Eskimo or Aleut
Spanish-American
Other (please specify)

* 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.

Faculty Sponsor Information
Name:
Address:
Phone:
Email:

Education After High School

Name and Location of Institution
Department
Dates of Attendance
Degree or Diploma
Major
Graduated Month/Year
Cumulative GPA

GRE Scores
Total:		Advanced Subjects (if any):
Verbal:		Score:
Quantitative:		Date Taken:	/ /
Analytical:
Date Taken:	/ /

Background Information on Applicant

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?

3. Please provide a description of your proposed research project (not exceeding 3 pages) including a) Title, b) Objective, c) Overall Approach, d) Budget, and 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.