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We are pleased you are interested in the
University of Louisville College of Medicine MD/PhD Summer Undergrad Research Fellowship.
Please complete this application in full, to be considered as one of the 2025 candidates.

Along with this completed application you will need to compile and submit the following:

Please write a (250 word maximum) 1-page paper describing your prior research experience. Mention funding sponsor(s), objective(s), outcome(s), and your contributions. Upload your document as a PDF.
Please write a (250 word maximum) 1-page paper about why you are interested in the MD/PhD Summer Undergrad Research Fellowship. Upload your document as a PDF.
Please provide copies of all educational transcripts. Combine multiple transcripts into one multi-page PDF document.

You may start your application and complete it later by selecting the "Save and Return" button at the end of the application. Please assure you submit your completed application prior to the deadline of February 1, 2025.

Questions can be directed to: Rania Gomaa at: rania.gomaaabdelhay@louisville.edu.
Application data is encrypted and stored securely.

Thank you!

If accepted into the MD/PhD Summer Undergrad Research Fellowship, please affirm you will agree to abide by the program policies by checking you understand each policy statement.

* must provide value

I will not participate in other activities (e.g., enrollment in classes, prematriculation program, other summer job, international internship, etc.) during the 9 week program. (If you intend to enroll in classes, do not check this statement. However, you will need to add an addendum to your application with explicit information on the time each week that you will be in class.)

I will complete all of the training required for conducting my research project at the University of Louisville.

I will present a 10-15 minute oral presentation of the research performed.

I will present a poster of my research project at the annual Undergraduate Student Research Symposium.

I understand the program has arranged university-affiliated housing for all students.

First Name

Last Name

Home Address

City

State

Zip Code

Contact Phone

Date of Birth

Gender Identity

Ethnic Category

Racial Category

Citizenship Status

Email Addresss

Are you living outside the Louisville Metropolitan area and will need university housing during the program?

Will you need on-campus parking during the program?

Please indicate if you meet the criteria in Category A?

Category A:
Individuals with disabilities, who are defined as those with a physical or mental impairment that substantially limits one or more major life activities, as described in the Americans with Disabilities Act of 1990, as amended.

Please indicate whether you meet or ever met Two or More Criteria in Category B?

Category B:
(Please add your current and old addresses for 7-1 and 7-2)

Ever homeless, as defined by the McKinney-Vento Homeless Assistance Act (https://nche.ed.gov/legislation/mckinney-vento/)
Ever in the foster care system, as defined by the Administration for Children and Families (https://nche.ed.gov/legislation/mckinney-vento/)
Ever eligible for the Federal Free and Reduced Lunch Program for two or more years (https://www.fns.usda.gov/cn/income-eligibility-guidelines
Have/had parents/legal guardians who did not complete a bachelor's degree (see NCES)
Ever eligible for Federal Pell grants (https://www2.ed.gov/programs/fpg/eligibility.html)
Ever received support from the Women, Infants and Children (WIC) program as a parent or child (https://www.fns.usda.gov/wic/wic-eligibility-requirements)
Ever grew-up in one of the following areas (only one of the two criteria in #7 can be used):
1. U.S. rural area, as designated by the HRSA Rural Health Grants Eligibility Analyzer (https://data.hrsa.gov/tools/rural-health)
2. Centers for Medicare and Medicaid Services-designated Low-Income and Health Professional Shortage Areas (https://data.hrsa.gov/tools/shortage-area/by-address).

Research Experience

Please write a (250 word maximum) 1-page paper briefly describe any research experience you have had (high school research projects, paid professional work, internships, etc.). Include a statement summarizing amount of time spent working and skills/techniques you feel comfortable performing in the laboratory.
Use the link to the right to upload your PDF file. (1,024 MB max file size)

Program Interest

Please write a (250 word maximum) 1-page paper about why you are interested in the MD/PhD Summer Undergrad Research Fellowship.
Use the link to the right to upload your PDF file. (1,024 MB max file size)

Transcripts

Please provide copies of all educational transcripts. Combine multiple transcripts into one PDF document.
Use the link to the right to upload your PDF file. (1,024 MB max file size)

Reference (optional)

You may provide an optional Letter of Reference as a part of your application.
The letter must be sent directly by the Referee and received by the application deadline, February 1, 2025.

Please send the Reference Letter Directly to:

Rania Gomaa
rania.gomaaabdelhay@louisville.edu

How did you hear about the MD/PhD Summer Undergrad Research Fellowship?

Are you a current University of Louisville Student?

What level of student are you currently?

This is determined by total amount of credits accrued and not quantity of years attending college(s).

I certify that all information submitted in the admission process - including this application and all other supporting documents - is my own work, factually true, and honestly presented, and that these documents will become the property of the institution and will not be returned to me. Affirm by selecting your response and signing application.
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