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HARVARD SUMMER RESEARCH PROGRAM 2020 SUMMER APPLICATION

Thank you for taking the time to complete this application.

The Harvard Summer Research Program in Kidney Medicine (HSRPKM) offers a robust and varied introduction to the world of nephrology for the undergraduate college student who is considering a career in science or medicine. We are committed to building a talented and diverse kidney research community of tomorrow. As part of that commitment, we encourage students who are part of the underrepresented groups in medicine (URM)* to apply.

* Underrepresented in medicine (URM) for the purpose of this program are those individuals belonging to a particular ethnic or racial group which has been considered by the National Institute of Health (NIH) and the Association of American Medical Colleges (AAMC) to be underrepresented in biomedical research (relative to their numbers in the general population). These groups may include Latino/Hispanic, African-American/Black, American Indian, Native Hawaiian and Alaskan Natives, among others. Sources: AAMC and NIH.

To complete this application you will be required to upload:
- Proof of US citizenship (US passport or Permanent Residency cards)
- Your resume
- Your personal statement
- 2x2 headshot photograph

ACCEPTANCE REQUIREMENTS

- GPA 3.4 or higher

- Currently enrolled in undergraduate degree seeking program

- Must be a US citizen or Permanent Resident
(Green Card holder)

- Must be committed to entire 8+ week program
(approximately May 31st, 2020 - August 7th, 2020)

Research experience preferred, but not required
NOTE: Each finalist will have a brief phone interview.

Please choose two professional or academic recommendation writers and have them email their letters on your behalf to HSKP@partners.org by January 22nd, 2020. The letters should be signed and on official letterhead if they submitted via postal mail. NOTE: We welcome letters from Principal Investigators or mentors from previous research lab experiences.

All transcripts must be official. Please submit one official transcript from your current institution; however if you are a transfer student that has been at your current institution less than one year, please submit a transcript from your prior institution.
NOTE: If your institution does not send e-transcripts you may mail your official transcript to the attention of:

Shekora Saint, MHA
Education Program Manager
75 Francis Street, MRB4
Boston, MA 02115

Questions: HSKP@partners.org or 617-732-5802

Based on your response, you are not eligible for this program . Please discontinue this application.

Thank you for taking the time to complete this application.

The Harvard Summer Research Program in Kidney Medicine (HSRPKM) offers a robust and varied introduction to the world of nephrology for the undergraduate college student who is considering a career in science or medicine. We are committed to building a talented and diverse kidney research community of tomorrow. As part of that commitment, we encourage students who are part of the underrepresented groups in medicine (URM)* to apply.

* Underrepresented in medicine (URM) for the purpose of this program are those individuals belonging to a particular ethnic or racial group which has been considered by the National Institute of Health (NIH) and the Association of American Medical Colleges (AAMC) to be underrepresented in biomedical research (relative to their numbers in the general population). These groups may include Latino/Hispanic, African-American/Black, American Indian, Native Hawaiian and Alaskan Natives, among others. Sources: AAMC and NIH.

To complete this application you will be required to upload:
- Proof of US citizenship (US passport or Permanent Residency cards)
- Your resume
- Your personal statement
- 2x2 headshot photograph

ACCEPTANCE REQUIREMENTS
- GPA 3.4 or higher
- Currently enrolled in undergraduate degree seeking program
- Must be a US citizen or Permanent Resident
(Green Card holder)
- Must be committed to entire 8+ week program
(approximately May 31st, 2020 - August 7th, 2020)
Research experience preferred, but not required
NOTE: Each finalist will have a brief phone interview.

Please choose two professional or academic recommendation writers and have them email their letters on your behalf to HSKP@partners.org by January 22nd, 2020. The letters should be signed and on official letterhead if they submitted via postal mail. NOTE: We welcome letters from Principal Investigators or mentors from previous research lab experiences.

All transcripts must be official. Please submit one official transcript from your current institution; however if you are a transfer student that has been at your current institution less than one year, please submit a transcript from your prior institution.
NOTE: If your institution does not send e-transcripts you may mail your official transcript to the attention
of:
Shekora Saint, MHA
Education Program Manager
75 Francis Street, MRB4
Boston, MA 02115
Questions: HSKP@partners.org or 617-732-5802

Do you have proof of US citizenship or permanent residency?

* must provide value

Yes

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Please upload either a picture of your passport or your permanent residency card

Upload file

Please upload a 2X2 headshot photograph

Upload file

Are you currently enrolled in an bachelor's degree granting program?

* must provide value

Yes

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Are you available to attend the program June 1st through August 7th, 2020?

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Last name

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First name

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Please select Male or Female

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Male

Female

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Personal email

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Cell phone

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Emergency contact name

Emergency contact relationship

Emergency contact phone number

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Emergency contact street address

Please upload your resume.

* must provide value

Upload file

Please have your letters of recommendation emailed to HSRPKM at HSKP@partners.org

or mailed:

Att: Harvard Summer Research Program in Kidney Medicine
Renal Division, Brigham and Women's Hospital
75 Francis Street-MRB 4, Boston, MA, 02115

What is the name of the college or university that you currently attend?

* must provide value

Current school address

Long term academic goal

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Bachelors

Masters

PhD

other

Please specify the other academic goal

Current academic major

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What academic level will you enter in August or September 2020?

* must provide value

Current cumulative GPA

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Expected graduation date

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M-D-Y

Current academic advisor's name

Academic advisor's email

Have you worked in a research lab?

* must provide value

Yes

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If you have any prior research experience, please list the Principal Investigator of the lab

Please upload a PDF of your personal statement.

* must provide value

Upload file

RACE/ETHNICITY/DISABILITY/DISADVANTAGED BACKGROUND
Responses to these items will help provide statistical information on the participation of individuals from diverse groups in Public Health Service (PHS) programs and identify inequities in terms of recruitment and retention based on race, ethnicity, disability and/or disadvantaged background. Participants are strongly encouraged to provide this information; however declining to do so will in no way affect their appointments. This information will be retained by the PHS in accordance with and protected by the Privacy Act of 1974. Racial /ethnic/ disability /background data are confidential and all analyses utilizing the data will report aggregate statistical findings only and will not identify individuals.

Ethnic Background

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Racial Background

* must provide value

African American (A person having origins in any of the black racial groups of Africa including the Caribbean.)

American Indian of Alaska Native (A person having origins in any of the original peoples of North, Central, or South America and maintains tribal affiliation or community.)

Asian or Pacific Islander (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including (for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam. Pacific Islander or Native Hawaiian are descendants of Hawaii, Guam, Samoa or other pacific islands.)

Hispanic or Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture origin, regardless of race.)

White (not of Hispanic origin) A person having origins in any of the original peoples of Europe, North Africa, or the Middle East.

Other

Do not wish to provide

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Please specify

DISABILITY: A physical or mental impairment that substantially limits one or more major life activities

* must provide value

If yes, which of the following categories describes your disability(ies):

Mobility/Orthopedic Impairment

Hearing

Visual

Other

Please specify the other disability

DISADVANTAGE BACKGROUND: An individual is considered to be from a disadvantaged background if he or she:
1. Comes from a family with an annual income below establish low-income thresholds, published by the U.S. Bureau of the Census; adjusted annually for changes in the Consumer Price Index; and adjusted by the Secretary for use in all health professions programs. The Secretary periodically publishes these income levels at https://aspe.hhs.gov/poverty-guidelines

Individuals falling in this category must have qualified for Federal disadvantaged assistance or have received Health Professional Student loans (HPSL), Loans for Disadvantaged Student Program, or scholarships from the U.S. Department of Health and Human Services under the Scholarship for individuals with Exceptional Financial Need.

2. Comes from a social, cultural, or educational environment, such as that found in certain rural or inner city environments, that has demonstrably and recently directly inhibited the acquisition of the knowledge, skills and abilities necessary to develop and participate in a research career. This category is most applicable to high school and perhaps undergraduate students, but more difficult to justify for individuals beyond that level of achievement.

Are you from a disadvantage background?

Yes

Do not wish to answer

reset

Please check the box(es) which indicates how you learned about this program

* must provide value

Handshake

Academic Advisior

Professor

Harvard internship website

Facebook

HSRPKM Alumni

KDSAP

Other

Please specify the other method

Please confirm that you have completed all requirements by selecting the check boxes below. Please select all that apply.

* must provide value

Uploaded proof of US citizenship

Uploaded resume

Upload personal statement

Upload 2X2 headshot photo

Requested letters of recommendation

Requested E-transcripts

Requested Official transcripts be sent via postal mail

Agreement and Signature

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Add signature

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