Summer Programs 2024 Application

Round Selection [Hidden]

Generate Pin [Hidden]

Submitted Flag [Hidden]

Complete this application to be considered for selection/placement into one or more of the following programs:

Although similar in many ways, each program offers something slightly different from the others (e.g. criteria for placement, financial support, overall program structure, etc.). Applicants are strongly encouraged to review all programs using the links above before deciding which program(s) they will apply to.

Program Selection

After you have thoroughly reviewed each program, select one or more of them to apply to. Applicants are encouraged to apply to as many programs as they'd like.

Select the program(s) you want to apply to:

Advancing Student Potential For Inclusion with Research Experiences (ASPIRE)

Diversity Summer Health-Related Research Education Program (DSHREP)

Summer Program for Undergraduate Research (SPUR)

Supporting Undergraduate Research Experiences (SURE)

Contact Information

First Name

Middle Name

Last Name

Preferred Pronouns

Specify Pronouns

Primary [non-academic] Email

Secondary Email

Primary Phone (XXX-XXX-XXXX)

Mailing Address (where you currently reside)

Country

Street

City

Region

Postal Code

Permanent Address (if different from Mailing Address)

Country

Street

City

Region

Postal Code

Demographic Information

Birthdate

Gender Identity

Gender Identity Self-Description:

Please note the following populations that are eligible to participate in these programs:

ASPIRE: U.S. Citizens & Permanent Residents
DSHREP: U.S. Citizens, Permanent Residents, & DACA
SPUR & SURE: U.S. Citizens, Permanent Residents, DACA & Foreign Nationals on a F1 visa

Primary Citizenship

Secondary Citizenship (if applicable)

Are you a permanent resident of the United States?

Are you a Deferred Action for Childhood Arrivals (DACA) program participant?

Do you have a current F1 visa status?

Race (check all that apply):

Are you Hispanic/Latino?

Please specify:

Please provide more information about your Black or African American heritage (check all that apply):

African

African American

Afro-Caribbean

Other Black or African American

Please specify:

Please provide more information about your Native Hawaiian or Other Pacific Islander heritage (check all that apply):

Please specify:

Backgrounds & Identities
The National Institutes of Health (NIH) encourages institutions to diversify their student and faculty populations to enhance the participation of individuals from groups that are underrepresented in the biomedical, clinical, behavioral, and social sciences, including individuals from disadvantaged backgrounds. Individuals from disadvantaged backgrounds are defined as those who meet two or more of the following criteria. Please select all the statements that apply to you:

I am currently or have been eligible for Federal Pell grants

I am currently or have been homeless

I am currently or have been in the foster care system

I am currently or have previously been eligible for the Federal Free and Reduced Lunch Program

I grew up in a U.S. rural area or a Centers for Medicare and Medicaid-designated Low-Income and Health Professional Shortage Area

I have a diagnosed disability (e.g. a physical or mental impairment that substantially limits or impacts major life activities)

I have received support for the Speical Supplemental Nutrition Program for Women, Infants, and Childhood (WIC) as a parent or child

As defined by the McKinney-Vento Homeless Assistance Act

As defined by the Administration for Children and Families

Click here for more information about Federal Free and Reduced Lunch Program

Click here for more information about designated rural areas, or here for more information about low-income and health professional shortage areas.

Click here for more information about the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

Is your primary language English?

What is your primary language?

I identify as part of the lesbian, gay, bisexual, transgender, queer, intersex, or asexual (LGBTQIA) community.

Would you like to specify?

Please describe any accommodations you may need to participate in our summer program(s). For example, some of our research experiences involve working at laboratory benches similar to a chemistry laboratory class.

Are you a first-generation college student?

NOTE: A student is considered first-generation if none of their parents or legal guardians completed a bachelor's degree program.

Education Information

Please provide information related to your current enrollment status.

College/University:

Major:

Grade Point Average:

Enrollment Start Month/Year

Graduation Month/Year (Actual or Expected):

Classification:

NOTE: Your classification is not determined by the number of years of college coursework you have taken but [generally] by the number of semester hours you have earned, which may vary by institution. Please confirm your classification according to your school's policies/guidelines prior to submission.

Were you enrolled at a different institution prior to the one you are currently at?

College/University:

Major:

Enrollment Start Month/Year

Enrollment End Month/Year

Transcripts
Applicants must submit a transcript from the college/university they currently attend (or most recently attended). We will accept unofficial documents (e.g. records that you submit directly to us vs. those sent to us directly from the institution) as part of the application process, but will require official documents if/when you accept a participation offer. Be advised that any discrepancies between an unofficial and official document may result in an offer being rescinded.

Regardless of whether the document is official or unofficial, it can be sent electronically via email to summerprograms@mcw.edu or mailed to:

MCW Summer Programs
Cardiovascular Center (HRC 4115)
8701 W Watertown Plank Road
Milwaukee, WI 53226

Are you currently, or have you previously, participated in any of the following organizations/programs (check all that apply)?

Louis Stokes Alliances for Minority Participation (LSAMP)

Maximizing Access to Research Careers (MARC)

McNair Scholars Program

Postbaccalaureate Research Education Program (PREP)

Research Training Initiative for Student Enhancement (RISE) Program

Society for the Advancement of Chicano/Hispanic and Native Americans in Science (SACNAS)

None of the above

Are you currently, or were you previously, involved in any health or science related student clubs, organizations, etc.?

Please include the name(s) of the club/organization along with any specific roles and responsibilities you had.

What type(s) of post-baccalaureate degree program(s) are you currently interested in pursuing (check all that apply)?

Have you taken, or are you planning to take, a standardized graduate and/or professional school admissions exam (i.e. MCAT, GRE, etc.)?

Please specify the exam type and the month/year you took it (or plan to take it):

Type:

Date:

Recommendations

Please arrange for two (2) recommenders to complete our online questionnaires. Please send one of the links below to one recommender, and the other to your second recommender.

It does not matter which link you choose to send to either of your recommenders. However, under no circumstances should you send the same link to both recommenders.

At least one (1) of the recommenders must be someone that you previous academic experience with (i.e. professor, mentor, tutor, advisor). If the recommender chooses to also submit a formal letter as part of the online questionnaire, the letter should be written on company/institutional/organizational letterhead.

Both online questionnaires must be submitted by the recommenders on or before the application deadline to ensure that you receive full consideration for selection into the program(s) you apply to. It is the applicant's responsibility to send the link to the online questionnaire to their recommenders, and to ensure that their recommenders submit the questionnaire on or before the deadline date.

Be advised that it does not matter what order we receive your application and associated materials, as long as we receive everything prior to the February 1, 2024 deadline. This means that your recommenders can submit the online questionnaire prior to you submitting this online application.

Recommender #1 Name:

Recommender #1 Email:

Recommender #1 Relationship:

Recommender #2 Name:

Recommender #2 Email:

Recommender #2 Relationship:

Short Answer Questions

Describe your interest in research. Provide specific examples.

Describe any relevant experiences you have had that you feel are related to the program(s) you are applying to.

Describe any relevant research experiences you have had (experiential or paid) related to the program(s) you are applying to. Be sure to include the types of equipment you have used, techniques and/or skills you have acquired, etc.

What kind of experience are you expecting from the program(s) you are applying to?

Why do you wish to participate in DSHREP? How do you expect DSHREP to further prepare you for future educational and professional goal attainment?

Please describe how you became interested in learning to perform "hands-on" bench laboratory research. Be sure to include references to your undergraduate courses and lab work which you feel prepared you for research.

In line with the mission of MCW's Office of Student Inclusion and Diversity, students are committed to building capacity within the health system, decreasing health inequities and health disparities while training and ultimately, practicing. Our goal is to advance health equity through educational offerings that contribute to the creation of a knowledgeable, caring, and diverse health science workforce dedicated to excellent service to patients from all backgrounds and communities. Please describe how your admittance into DSHREP will support you in achieving your personal goals of providing equitable care in marginalized patient populations and advance health equity.

Program Information

Will you be in need of housing accommodations if you accept a participation offer?

NOTE: Housing is only provided to participants who live outside of the greater Milwaukee area.

Please rank your top three (3) areas of research interest.

Preference #1

Preference #2

Preference #3

Indicate any additional area(s) of research or specific faculty members that you have interest in working with:

Review & Submission

How did you learn about summer research program opportunities at MCW?

Please specify:

By e-signing this form, you are verifying and confirming that you:

Will be 18 years or older by the start of the program (May 29, 2024)
Anticipate being able to a) provide a full-time effort (40 hours/week) and b) participate for the full duration of the program (May 29, 2024 – August 2, 2023)
Must participate in and successfully complete a background check if you accept a participation offer
May handle and work with animals if you accept a participation offer
May be required to take a TB test, tetanus vaccination, hepatitis B vaccination, or submit verification of having recently received these tests/vaccinations if you accept a participation offer.
Understand that the stipend you may receive through participating in one of these programs is based on a 40-hour work week, and that holiday, overtime, and/or vacation pay is not offered.

Additionally

Be advised that this program is supported through philanthropic funding.
Housing and travel expenses to and from Milwaukee are available to participants who do not reside in Wisconsin.
Local students who require daily transportation are eligible for Milwaukee County Transit bus cards.
Daily attendance is required and participants will not be granted time away for vacation or to attend extracurricular activities/events.

e-Signature:

Date: