LOYOLA · 2019-09-25 · LOYOLA. U NIVERSITYCHICAGO . ALTH HE SCIENCES DIVISION CLINICAL RESEARCH OFFICE. 2160 S. First Avenue • Maywood,IL 60153 Center for Translational Research

LOYOLA U NIVERSITY CHICAGO

HEALTH SCIENCES DIVISION CLINICAL RESEARCH OFFICE 2160 S. First Avenue • Maywood, IL 60153 Center for Translational Research and Education

Bldg. 115, Suite 253

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SUMMER INTERNSHIP PROGRAM

Instructions: You must use this application to apply to the general Summer Internship Program (SIP) and/or one of the subprograms.

Eligibility Criteria:

1. Candidates must be eighteen years of age by June 15, 2019.

2. Candidates must be U.S. citizens or permanent residents.

3. U.S. citizens are eligible to apply if they are enrolled at least half-time in an accredited college oruniversity as an undergraduate, graduate, or professional student. Students who have beenaccepted into an accredited college or university program may also apply.

* Individuals who are in college (including community college) or graduate/professional school at the time of application but who will be 17 years of age on June 3rd, 2019, should contact Leah to inquire about a waiver of this age requirement.

IMPORTANT NOTE: The deadline for receipt of completed SIP applications, including 1 letter of recommendation is April 29, 2019 (11:59 PM, Central Standard Time).

Please take the time to read the following additional advice carefully.

• Proofread your application thoroughly for accuracy and completeness; false or inaccurate information may be grounds for denying your candidacy or removing you from the program.

• Letters of recommendation sent to Leah at [email protected] no later than April 29, 2019, at 11:59 PM, CST. We will not accept letters after that time.

I have read and understand the general eligibility requirements and instructions.




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LOYOLA UNIVERSITY CLINICAL RESEARCH SUMMER INTERNSHIP PROGRAM APPLICATION

Expiration Date 06/30/2019

Instructions: Complete all the required fields below.

*Indicates a required field.

Notice to all applicants: It is your responsibility to ensure that all of the below information is correct. False or inaccurate information contained in this application or provided during an interview may be grounds for denying your candidacy or removing you from the program.

1. Personal Information

Application No: TBD

*Name:*Email Address:*Permanent Home Phone:*Permanent Address:

Address Line 2: *City:*State:

(Use DC for District of Columbia and NA if your current address is not in the U.S.) *Zip Code:*Country/Region:

*Enrollment: Are you currently enrolled in an accredited college or university, or have you been acceptedinto an accredited college or university? Yes No*Is the institution in the U.S.? Yes No




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Personal Information - Continued

Minimum Age Requirement: Will you be at least 17 years of age by June 15, 2019? Yes No Will you be at least 18 years of age by June 15, 2019? Yes No

*Current Address:If current address is the same as the permanent address leave below portion blank.Current Address:Address Line 2:*City:*State:(Use DC for District of Columbia and NA if your current address is not in the U.S.)

*Zip Code:*Country/Region:

Preferred Phone Number: (Complete only if you do not want us to use your Permanent Phone Number.)

*Previous Experience at Loyola University:

*Do you have relatives at Loyola University? If yes, please identify who they are?

2. Academic Information

*School:*School State:(Please enter the state in which your school is located. Use DC for District of Columbia and NA if your schooladdress is not in the U.S.)*Current Education Level:*Year at Current Level:*Current GPA: (Cumulative unweighted average) *School Grading Scale:Note: If 'Other', please explain in Section 3, Coursework and Grades. Be sure to describe your school'sgrading scale and your current cumulative average relative to that scale.

*Academic Major: or specify major:




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3. Coursework and Grades

List all courses completed at your current educational level, not just science courses. Include the grades you received. Include courses in which you are currently enrolled, even if grades are not yet available. Make certain course titles are informative. For example, Chemistry 40 is insufficient. Finally, if this is your first semester at a new educational level (e.g., your first semester in college), include some information on your prior academic performance (i.e., in high school).




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4. CV/Resume

Please attach a copy of your curriculum vitae or resume along with this application. Be sure to include education, relevant research experience, scientific publications, honors and awards, community service, leadership, etc.

5. References

Please attach one letter of recommendation along with this application.

6. Cover Letter

Please attach a cover letter. Describe your research interests, career goals, and reasons for applying for internship at Loyola; be certain that your cover letter is specific for this particular program.

Documents

LOYOLA · 2019-09-25 · LOYOLA. U NIVERSITYCHICAGO . ALTH HE SCIENCES DIVISION CLINICAL RESEARCH OFFICE. 2160 S. First Avenue • Maywood,IL 60153 Center for Translational Research