MDIBL Application for Student Fellowship

Deadline for a completed application is:

UNDERGRADUATES - January 18, 2008
HIGH SCHOOL STUDENTS - February 1, 2008

INSTRUCTIONS:

Undergraduates: Submit the following: 1) this application, submitted online; 2) your transcripts of all undergraduate work completed and in progress; 3) two faculty recommendation forms; 4) answers to the short/essay answer questions.

High School students: Submit the following: 1) this application, submitted online; 2) your transcripts of all high school work completed and in progress; 3) one faculty recommendation forms (high school students need submit only one recommendation; the required teacher nomination, due Jan. 1, qualifies as the second recommendation); 4) answers to the short/essay answer questions.

All required forms are available in the application package (PDF) for high school students or undergraduate students .

Hard-copy materials (transcript, recommendations), must be received by the MDIBL Education Office by the deadline listed above.

Michael McKernan
Director of Education
MDI Biological Laboratory
Old Bar Harbor Road (Fed Ex Address)
PO Box 35
Salisbury Cove, ME 04672
207-288-2130 (fax)
207-288-9880 ext 102 (phone)
internships@mdibl.org
Application for Student Fellowship - 2008
Please consider this application under the following program:*
I. Personal Information  
First Name*
 Middle Initial
 Last Name*
Social Security
Date of Birth*
 Gender*

Citizenship
Mailing address at home*
 City*
 State*
 Zip*
 Country*
Telephone: home*
 Mobile*
 Email*
Parent(s) Name / Emergency contact
 
Institutional Information
 
Institution / School*
  
Mailing address at school*
 City*
 State*
 Zip*
 Country*
Telephone: school*
 Fax
Major*
 Anticipated Degree* If you selected other degree, please specify:
Graduation Date*
Planned Graduate Education*

 Career Choice
II. Educational Record (begin with Secondary School)
 
Institution*
 Dates Attended, Mo./Yr.*
 Diploma*
 Year Awarded or Pending *
What is your academic level as of June 2008?*

 If other, please specify:
For High School applicants only:

To which college/university will you be applying, or have you applied/been accepted?
Will you have completed high school biology, chemistry and mathematics by summer 2008?
III. Mentor Preference (undergraduate applicants only)
 
List in order of preference three research areas or investigators with whom you would like to work (review the list).

1. 2. 3.

Comments:
IV. Other Information

Availability*

Please indicate the dates you will be available between June 1 and August 31.
FROM: TO:

Dates of unavailablilty and reason:

Housing

Preferred Roommate (optional)

Animal Models in Research*

Most research projects involve the use of animal models. Have you any reservations about working with living animals in laboratory settings using procedures which may involve invasive techniques and euthansia?

Please indicate your preferences regarding work with laboratory animals by selecting one of the four choices below:

If you prefer a project involving laboratory animals, please select one of the choices below:

Note: All research institutions comply with governmental regulations and guidelines for the care and use of vertebrate animals in research and training. All student projects involving animals are approved by the institutions' Animal Care and Use Committee.

V. Recruitment
Members of underrepresented minorities in science are actively recruited and encourged to apply. Please indicate if you are a member of any of the following racial or ethinc groups:
Other:
Where did you first hear about our program:
Who?, Which Internet List?, or Other:
VII. Short Answer/Essay Questions

Please provide concise responses to the following short answer/essay questions.  Responses should be double-spaced and not exceed four pages total. Responses should be uploaded immediately prior to submitting an application.

1. Describe your qualifications for participation in this program.  Include examples of any specific experiments in science.  List previous summer programs and courses that included hands-on laboratory experience.  (Lab experience is not a requirement for admission.)

2. Why do you want to attend this program?  What about science interests and challenges you?

3. What do you do in your spare time?

4. Describe your education and career goals and reasons for pursuing them.

VIIa. Undergraduate Fellowship applicants only:
5a. Explain why you chose the mentors listed on the application, including any strong preferences you have for or against working in a specific area.

VIIb.  High School Fellowship applicants only:
5b.  Science and research have undergone remarkable change in the last two years.  Identify what you think has been the primary advance in biological science and explain why you think it is so important.

INSTRUCTIONS: Please email your short answer/essay responses as a MS Word document (.doc) or text file (.txt, .rtf) attachment to internships@mdibl.org.

If you are unable to email your responses, please enclose a hard copy with your academic transcripts.

VIII. Certification

1. Applicants: This certifies that the information I have entered on this application form is complete and accurate.*
Applicant: Date:


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