high school summer research internship - Drexel University College ...

Office of Biomedical Graduate, Postgraduate and Professional StudiesHIGH SCHOOL SUMMER RESEARCH INTERNSHIPAPPLICATION FORMNOTE: Please complete all sections Be sure to submit requested recommendations Completed applications are due by February 1, 2008 Incomplete applications will not be consideredMail completed application to:Tia DorseyHigh School Summer Research InternshipDrexel University College of MedicineOffice of Biomedical Graduate,Postgraduate and Professional Studies2900 Queen Lane, Suite 239Philadelphia, PA 19129Phone: 215-991-8573Fax: 215-843-5810

I. Applicant:Name:Address:____________________________________________________________________________________________________________________________________________________________Telephone #: ______________________________Date of Birth:______________________________Social Security #:Email Address:________________________________________________Do you have any relatives who are presently employed by Drexel University?If so, please list their names and relationship to you.____________________________________________________________________________II.High School Information:High School Name: ________________________________________________________________________Location:________________________________________________________________________ Sophomore Junior Senior Expected Graduation Date: __________________Science GPA: ____________________________ Total GPA: ______________________________List below all courses you have taken in the following categories:TitleBiological SciencesChemistryMathematicsCreditHoursGrade Institution YearHigh School Summer Research InternshipPage #: 2

Psychology or PsychobiologyPhysicsIII.General:Past research experience (if any) [continue on separate sheet if necessary]: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________IV.Research Interest:Please note areas of research interests.1. _______________________________________________________________________2. _______________________________________________________________________3. _______________________________________________________________________V. References (Names):1. _______________________________________________________________________2. _______________________________________________________________________**Please submit with your application the two (2) attached recommendation forms.**High School Summer Research InternshipPage #: 3

VI.Personal Statement:1) Your interest in biomedical sciences2) Previous experience3) What you would like to work on for the summer4) Your educational and/or career goalsSignature of Applicant:______________________________________________________Date: ________________________High School Summer Research InternshipPage #: 4

Recommendation FormApplicant’s Name:________________________________________________________________________Name of Person Recommending Applicant:________________________________________________Position/Rank:________________________________________________________________________Institution:______________________________________________________________________________Please check one description in each category which best describes the applicant. Leave a category blankif you have insufficient knowledge of the student’s performance in that area:Ability to do Creative ResearchWriting and Reporting Ability_____1. Exceptionally creative_____1. Writes with exceptional clarity_____2. Modifies new ideas readily_____2. Clear writer_____3. Responds to suggestion, shows little originality _____3. Average writing ability_____4. Poor writing ability_____4. Requires detailed instructionsAnalytical Ability_____1. Exceptional critical judgment_____2. Modifies new ideas readily_____3. Average analytical ability_____4. Poor analytical abilityAccuracy_____1. Exceptionally accurate_____2. Makes only minor errors_____3. Satisfactory accuracy_____4. Considerable checking requiredOral Expression_____1. Exceptional articulation_____2. Good ability to articulate_____3. Expresses self in an average manner_____4. Has difficulty in making selfunderstoodEnthusiasm, Initiative, Industry_____1. Self-starter, creates own job_____2. Works with little aid_____3. Requires some urging_____4. Requires much urgingPlease comment on the research potential and abilities of the student. Continue on the back of thisrecommendation form if necessary:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature of Person Making Recommendation:______________________________________________________Date: ________________________High School Summer Research InternshipPage #: 5

Recommendation FormApplicant’s Name:________________________________________________________________________Name of Person Recommending Applicant:________________________________________________Position/Rank:________________________________________________________________________Institution:______________________________________________________________________________Please check one description in each category which best describes the applicant. Leave a category blankif you have insufficient knowledge of the student’s performance in that area:Ability to do Creative ResearchWriting and Reporting Ability_____1. Exceptionally creative_____1. Writes with exceptional clarity_____2. Modifies new ideas readily_____2. Clear writer_____3. Responds to suggestion, shows little originality _____3. Average writing ability_____4. Poor writing ability_____4. Requires detailed instructionsAnalytical Ability_____1. Exceptional critical judgment_____2. Modifies new ideas readily_____3. Average analytical ability_____4. Poor analytical abilityAccuracy_____1. Exceptionally accurate_____2. Makes only minor errors_____3. Satisfactory accuracy_____4. Considerable checking requiredOral Expression_____1. Exceptional articulation_____2. Good ability to articulate_____3. Expresses self in an average manner_____4. Has difficulty in making selfunderstoodEnthusiasm, Initiative, Industry_____1. Self-starter, creates own job_____2. Works with little aid_____3. Requires some urging_____4. Requires much urgingPlease comment on the research potential and abilities of the student. Continue on the back of thisrecommendation form if necessary:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature of Person Making Recommendation:______________________________________________________Date: ________________________High School Summer Research InternshipPage #: 6