2013 Memorial Sloan-Kettering. Summer Clinical Oncology Research Experience (SCORE) Online Application

1. Memorial Sloan-Kettering Office of Faculty Development. SCORE program

Summer Clinical Oncology Research Experience (SCORE) Application 2013

ONLINE APPLICATION DUE DATE:Monday, February 11, 2013

PROGRAM DATES: June 3-July 26, 2013

MENTORS: Memorial Sloan-Kettering Cancer Center (MSKCC) faculty

ELIGIBILITY: women undergrads or post-bacs from Hunter College

INFORMATION: contact Taryn Weinstein, Pre-Health Advisor,
Hunter College, email: tw33@hunter.cuny.edu or
phone:212-650-3611

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* 1. Please complete the following information

Name:

Gender:

Address:

Address 2:

City/Town:

State:

ZIP/Postal Code:

Country:

Email Address:

Phone Number:

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* 2. Permanent or Parents Address

Name:

Address:

City/Town:

State:

ZIP:

Phone Number:

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* 3. Please complete the following section

Date of Birth:

Country of Citizenship:

Country of Birth:

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* 4. Please indicate your race/ethnicity

American Indian or Alaska Native

Asian

Black

Hispanic

Native Hawaiian or Other Pacific Islander

White

Other (please specify)

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* 5. Permanent Resident or Citizen

Permanent Resident

Citizen

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* 6. Please indicate your academic year below.

Freshman

Sophomore

Junior

Senior

Post Baccalaureate

Other (please specify)

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* 7. Have you declared a major yet?

Yes

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* 8. What is your current or planned academic major?

Biology

Chemistry

Physics

Uncertain

Other (please specify)

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* 9. GPA

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* 10. Are you involved in any other Research Program?

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* 11. Are you planning to get an advanced degree after college (eg Master's, MPH, MD, PhD, MD/PhD, other)?

Yes

Uncertain

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* 12. If you plan to get an advanced degree, what advanced degree do you plan to pursue?

PhD

MD PhD

MPH

Master's

MBA

Other (what?).

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* 13. What are your career goals?

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* 14. Have you had research experience?

Yes, laboratory

Yes, clinical

Yes, other (describe)

Please briefly describe any research experience (what, where, when, your role). Be brief; save details for the essay, which is separate.

2013 Memorial Sloan-Kettering. Summer Clinical Oncology Research Experience (SCORE) Online Application

1. Memorial Sloan-Kettering Office of Faculty Development. SCORE program

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* 1. Please complete the following information

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* 2. Permanent or Parents Address

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* 3. Please complete the following section

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* 4. Please indicate your race/ethnicity

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* 5. Permanent Resident or Citizen

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* 6. Please indicate your academic year below.

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* 7. Have you declared a major yet?

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* 8. What is your current or planned academic major?

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* 9. GPA

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* 10. Are you involved in any other Research Program?

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* 11. Are you planning to get an advanced degree after college (eg Master's, MPH, MD, PhD, MD/PhD, other)?

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* 12. If you plan to get an advanced degree, what advanced degree do you plan to pursue?

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* 13. What are your career goals?

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* 14. Have you had research experience?

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* 15. Please submit your ESSAY below: Discuss who you are, what relevant experiences you've had, and why you want to participate in the SCORE program.

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* 16. Please list any additional relevant honors, awards, or other experiences, that were not discussed in your essay.