2021 Summer Scholars Application Form Be sure to complete the online application in its entirety. Starred (*) fields must be answered. Failure to answer required fields completely may result in delayed consideration of your application. When you have successfully completed the online application, you will receive a confirmation email. If you do not receive a confirmation with 24 hours, please alert the system administrator by submitting a website inquiry. If you experience any technical issues, please click here for help troubleshooting your problem. If you have any questions about the application or the Summer Scholars Program, you may email SRF Director of Education, Dr. Gregory Chin. SRF Education Application TroubleshootingThere are a number of issues that could result in submission problems. The following reminders and suggestions should address the most common problems encountered by applicants.Verify that all required (*) fields have been completed with valid input. The form highlights errors and omissions in red. Carefully review the warning messages explaining the requirement for each field to ensure that ranges have not been exceeded, for instance.Verify that all file attachments conform to the maximum size and format in the instructions. Note that changing the file name extensions (i.e. *.pdf) will not change the file format and will not satisfy the file format requirement.If you are unable to submit the form and see no error messages, try clearing your browser cache. Information from a previous unsuccessful attempt to submit the application can sometimes get stored in the cache and interfere with a subsequent submission, despite the error being addressed. You may wish to refer to https://www.refreshyourcache.com/ for additional help.If clearing your cache doesn’t solve the problem, it’s possible you are experiencing a browser-specific issue. Trying a different browser often helps as switching browsers addresses the caching issue, personal settings, and add-ons that may interfere with the form submission. We recommend trying one of the browsers we tested most extensively: Chrome, Firefox, Safari, or Internet Explorer.If none of the aforementioned reminders or suggestions resolves your issue, please alert the system administrator by submitting a website inquiry. In your message, be sure to clearly describe the problem(s) you are experiencing and the browsers you have already tried. Attaching a screenshot(s), such as any error messages you have received, can help us resolve your issue more quickly.Please note that the application deadline is strictly enforced, and applications submitted late due to technical issues will be accepted only at the discretion of the Director of Education.Hide troubleshooting tipsContact InformationThis information will allow SRF to contact you and conduct an interview.Name* First Name/Given Name Last Name/Surname Email Address* Phone NumberAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Where did you hear about the SRF Summer Scholars Program?*Academic advisor, professor, or other university representativeFacebookInternships.comLinkedInPathways to ScienceUniversity Career Center or Job/Internship Bulletin BoardUniversity, College, or Department communication (poster, email, newsletter, etc.)SRF NewsletterSRF WebsiteWould you like to be added to the SRF newsletter mailing list?YesNoAcademic InformationThis information is necessary to evaluate your application.University*Please select...OtherAlbany State UniversityAlcorn State UniversityAllegheny CollegeAmherst CollegeArizona State UniversityAssumption CollegeAuburn UniversityAurora UniversityAustin CollegeBaylor UniversityBenedictine CollegeBerea CollegeBethany CollegeBinghamton University - State University of New York (SUNY)Biola UniversityBoston CollegeBoston UniversityBowdoin CollegeBrandeis UniversityBrigham Young UniversityBrown UniversityBucknell UniversityButler UniversityButte CollegeCalifornia Baptist UniversityCalifornia Institute of Technology (Caltech)California Polytechnic State University, PomonaCalifornia Polytechnic State University, San Luis ObispoCalifornia State University, ChicoCalifornia State University, FresnoCalifornia State University, Long BeachCalifornia State University, NorthridgeCalifornia State University, SacramentoCalifornia State University, San BernardinoCalifornia State University, San MarcosCalifornia State University, StanislausCarleton CollegeCarnegie Mellon UniversityCase Western Reserve UniversityChapman UniversityChristopher Newport UniversityCity College of New YorkClaremont McKenna CollegeClark UniversityClarkson UniversityClemson UniversityCoastal Carolina UniversityColby CollegeColgate UniversityCollege of CharlestonCollege of MarinCollege of William & MaryCollege of WoosterColorado School of MinesColorado State UniversityColumbia CollegeColumbia UniversityConcordia CollegeConcordia University IrvineCornell CollegeCornell UniversityCoventry UniversityDartmouth CollegeDavidson CollegeDe Anza CollegeDiablo Valley CollegeDickinson CollegeDominican University of CaliforniaDrexel UniversityDuke UniversityElmira CollegeEmory UniversityFlorida Atlantic UniversityFlorida International UniversityFlorida State UniversityFoothill CollegeFordham UniversityGeorge Mason UniversityGeorge Washington UniversityGeorgetown UniversityGeorgia Institute of TechnologyGeorgia State UniversityGonzaga UniversityGordon CollegeGrinnell CollegeHamilton CollegeHarvard UniversityHarvey Mudd CollegeHofstra UniversityHoward UniversityHunter College - City University of New YorkHusson UniversityIllinois CollegeIllinois Institute of TechnologyIllinois Wesleyan UniversityIndiana University of PennsylvaniaIndiana University-Purdue University IndianapolisIowa State UniversityJackson State UniversityJames Madison UniversityJohns Hopkins UniversityKansas State UniversityKnox CollegeLa Roche CollegeLafayette CollegeLehigh UniversityLehman College, City University of New York (CUNY)Lincoln University of PennsylvaniaLouisiana State UniversityLouisiana Tech UniversityLoyola Marymount UniversityLoyola University ChicagoLuther CollegeMacalester CollegeMarist CollegeMarquette UniversityMassachusetts Institute of TechnologyMercer UniversityMiami Dade CollegeMiami University (Ohio)Michigan State UniversityMichigan Technological UniversityMiddlebury CollegeMills CollegeMinnesota State University, MankatoMississippi State UniversityMissouri State UniversityMontana State UniversityMoravian CollegeMorehead State UniversityMorgan State UniversityMount Holyoke CollegeMurray State UniversityNew Jersey Institute of TechnologyNew Mexico State UniversityNew York UniversityNorfolk State UniversityNorth Carolina State UniversityNorth Central CollegeNortheastern UniversityNorthern Arizona UniversityNorthwestern UniversityNova Southeastern UniversityOberlin CollegeOccidental CollegeOglethorpe UniversityOhio State UniversityOregon State UniversityPennsylvania State UniversityPepperdine UniversityPitzer College, Claremont CollegesPlymouth UniversityPomona CollegePortland State UniversityPrairie View A&M UniversityPrinceton UniversityPurdue UniversityQueens College, City University of New York (CUNY)Ramapo College of New JerseyReed CollegeRensselaer Polytechnic InstituteRice UniversityRochester Institute of TechnologyRutgers University - New BrunswickSaint Louis UniversitySaint Mary's College of CaliforniaSaint Michael's CollegeSaint Peter's UniversitySalem State UniversitySan Diego State UniversitySan Francisco State UniversitySan Jose State UniversitySanta Clara UniversityScripps CollegeSeattle Central CollegeSeton Hall UniversitySiena CollegeSkidmore CollegeSmith CollegeSonoma State UniversitySouth Carolina State UniversitySouth Dakota State UniversitySoutheast Missouri State UniversitySoutheastern Louisiana UniversitySouthern Methodist UniversitySouthern New Hampshire UniversitySouthern Oregon UniversitySouthwestern Adventist UniversitySpelman CollegeSt. John Fisher CollegeSt. Lawrence UniversityStanford UniversityState University of New York, BuffaloState University of New York, CobleskillState University of New York, OswegoStony Brook UniversitySwarthmore CollegeSyracuse UniversityTemple UniversityTexas A&M UniversityTexas Christian UniversityTexas Tech UniversityTroy UniversityTufts UniversityTulane UniversityUnion College (NY)University of Alabama at BirminghamUniversity of ArizonaUniversity of ArkansasUniversity of California, BerkeleyUniversity of California, DavisUniversity of California, IrvineUniversity of California, Los AngelesUniversity of California, MercedUniversity of California, RiversideUniversity of California, San DiegoUniversity of California, Santa BarbaraUniversity of California, Santa CruzUniversity of Central FloridaUniversity of ChicagoUniversity of CincinnatiUniversity of Colorado, BoulderUniversity of Colorado, DenverUniversity of ConnecticutUniversity of DallasUniversity of DenverUniversity of FloridaUniversity of GeorgiaUniversity of HoustonUniversity of IdahoUniversity of Illinois at ChicagoUniversity of Illinois, Urbana-ChampaignUniversity of IowaUniversity of KansasUniversity of Maine at FarmingtonUniversity of Maine, MachiasUniversity of Maryland, Baltimore CountyUniversity of Maryland, College ParkUniversity of Massachusetts, AmherstUniversity of Massachusetts, BostonUniversity of MiamiUniversity of Michigan, Ann ArborUniversity of Minnesota, Twin CitiesUniversity of Missouri, ColumbiaUniversity of MontanaUniversity of Nebraska OmahaUniversity of Nebraska-LincolnUniversity of Nevada, Las VegasUniversity of New HampshireUniversity of New MexicoUniversity of North Carolina, Chapel HillUniversity of North Carolina, CharlotteUniversity of North FloridaUniversity of North TexasUniversity of Notre DameUniversity of OklahomaUniversity of PennsylvaniaUniversity of PittsburghUniversity of PortlandUniversity of Puget SoundUniversity of Rhode IslandUniversity of RichmondUniversity of RochesterUniversity of San DiegoUniversity of San FranciscoUniversity of Santa CruzUniversity of South CarolinaUniversity of South FloridaUniversity of Southern CaliforniaUniversity of Southern MississippiUniversity of Tennessee, KnoxvilleUniversity of Texas, ArlingtonUniversity of Texas, AustinUniversity of Texas, DallasUniversity of the PacificUniversity of ToledoUniversity of UtahUniversity of VermontUniversity of VirginiaUniversity of WashingtonUniversity of Wisconsin, MadisonUniversity of WyomingUniversity/CollegeUtah State UniversityUtah Valley UniversityVanderbilt UniversityVassar CollegeVillanova UniversityVirginia Commonwealth UniversityVirginia Polytechnic Institute and State University (Virginia Tech)Wake Forest UniversityWartburg CollegeWashington State UniversityWashington University in St. LouisWellesley CollegeWesleyan CollegeWesleyan UniversityWest Virginia UniversityWestern Michigan UniversityWestern New England UniversityWestern Washington UniversityWestminster CollegeWhittier CollegeWilliams CollegeWorcester Polytechnic Institute (WPI)Xavier University of LouisianaYale UniversityUniversity (Other)*If your university or college is not listed in the previous field, enter its name here.Major or Concentration*Years of Undergraduate Schooling To Date*Please select...12345OtherGPA (4.0 scale)*Please enter a number from 2.00 to 4.00.Expected Date of Graduation*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberMonth*YearFirst available date to begin internship* Date Format: MM slash DD slash YYYY Attention: Please be clear to answer with the first day that you could actually be at the host institution. If necessary, use a conservative estimate based on the last day of finals. You will not be held to this precise answer, but the expectation is that the answer will be accurate within a few days.Will you require a CPT or similar documentation to participate in the program?*YesNoNote that the answer for this question will not disqualify you. Instead, it will help ensure you are given sufficient warning to complete any necessary applications in time for the start of the internship.Laboratory ExperiencePlease indicate the level of skills/experience you possess as accurately as possible by indicating the number of times you have performed the following laboratory procedures. You may expand upon your experience in your Personal or Scientific Statement.Agarose gel electrophoresisFour or more timesOne to three timesNeverBacterial cell cultureFour or more timesOne to three timesNeverC. elegans maintenanceFour or more timesOne to three timesNeverDNA extractionFour or more timesOne to three timesNeverDNA quantificationFour or more timesOne to three timesNeverDrosophila maintenanceFour or more timesOne to three timesNeverELISAFour or more timesOne to three timesNeverFlow cytometryFour or more timesOne to three timesNeverImmunofluorescenceFour or more timesOne to three timesNeverIn situ hybridizationFour or more timesOne to three timesNeverMammalian cell cultureFour or more timesOne to three timesNeverMicropipettingFour or more timesOne to three timesNeverMicroscopyFour or more timesOne to three timesNeverMouse/rat husbandryFour or more timesOne to three timesNeverPolymerase chain reactionFour or more timesOne to three timesNeverProtein electrophoresisFour or more timesOne to three timesNeverSub-cloningFour or more timesOne to three timesNeverWestern blotFour or more timesOne to three timesNeverOther (mention level of expertise for any additional laboratory skills)Technical ExperiencePlease indicate the level of experience you possess as accurately as possible. Beginner: You are familiar with the skill but may require additional training to use it in your project. Intermediate: You are proficient and should be able to apply it to the project with a little guidance. Advanced: You are capable of using the skill to accomplish specific tasks with little or no guidance. You may expand upon your experience in your Personal or Scientific Statement.BASHAdvancedIntermediateBeginnerNoneLinuxAdvancedIntermediateBeginnerNoneMatlabAdvancedIntermediateBeginnerNonePROVEANAdvancedIntermediateBeginnerNonePyMOLAdvancedIntermediateBeginnerNonePythonAdvancedIntermediateBeginnerNoneRAdvancedIntermediateBeginnerNoneRosettaAdvancedIntermediateBeginnerNoneOther (mention level of expertise for any additional computer languages, statistics, or data analysis programs)2021 Summer Scholar ProjectsUse this section to identify your research interests. You may select up to three labs, but be sure to select ONLY those projects you are prepared to join. Carefully read the Research Project Descriptions to review the research project associated with each PI before making your decision. You will have the opportunity to explain your interest in each project in your Personal Statement.Research Groups* Julie Andersen (Buck Institute for Research on Aging) Amutha Boominathan (SRF Research Center) Daniel Clemens (Underdog Pharmaceuticals) Monica Colaiacovo (Harvard Medical School) Jennifer Garrison (Buck Institute for Research on Aging) Marco Quarta (Rubedo Life Sciences) Khalid Shah (Harvard Medical School) Amit Sharma (SRF Research Center) Evan Snyder (Sanford Consortium for Regenerative Medicine) Michael Snyder (Stanford University)Demographics (Optional)This information would aid future funding of the program. Your individual responses will not be disclosed. The information would only be used to evaluate the program as a whole.Gender- None -MaleFemaleWhat is your ethnicity? Select the answer with which you MOST CLOSELY identify. Hispanic or Latino Not Hispanic or Latino Unknown or not reportedWhat is your race? Check all that apply. American Indian or Alaskan native Asian Black or African American Native Hawaiian or Other Pacific Islander White Unknown or not reportedAdditional Application DocumentsThe additional application documents are an opportunity for you to explain your interest in specific research project(s) and highlight your prior research experience. Except where otherwise stated, you may submit files in PDF, DOC or DOCX format. The maximum size for each file is 4 MB.University Transcript*Accepted file types: pdf.Please provide a copy of your most recent transcript in PDF format. An unofficial transcript is sufficient. The transcript should list grades from all of your completed coursework to date, including those from the 2020 Fall term (semester or quarter). If Fall 2020 grades are not available at the time of submission of the application, make sure the transcript lists courses enrolled for the Fall 2020 term. Please note that this document will ONLY be accepted in PDF format.Additional Transcript(s)Be sure to submit an accurate record of your entire undergraduate coursework. Use this option to submit additional transcript(s) if you have attended more than one institution during the course of your undergraduate schooling. Please note that these documents will ONLY be accepted in PDF format. Drop files here or Accepted file types: pdf.CV or Resume*Accepted file types: pdf, doc, docx.Please limit your CV or resume to a maximum of 2 pages. In particular, highlight any prior laboratory or research experience. A brief 1- or 2-line description of your specific contribution to each research project is particularly helpful. For instance, the statement "created the expression construct that allowed us to determine protein localization" quickly clarifies your role in the project. You can delve into the specifics of your research in the scientific statement.Personal Statement*Accepted file types: pdf, doc, docx.Please explain your interest in the SRF Summer Scholars Program, SENS Research Foundation in general, and your interest in the three (or fewer) research projects you selected above. Highlight any relevant skills to your selected projects and/or connection between past research experiences and your selected projects. Limit your personal statement to a maximum of 2 pages.Scientific Statement*Accepted file types: pdf, doc, docx.We would like to get a sense of you as a researcher. Please highlight your prior research experience. Note that it is better to clearly explain your role in one or two projects in which you had a significant role rather than simply list procedures which you have performed. Your CV or resume will provide a comprehensive list of all prior research and skills. In particular, explain your contribution to the project both experimentally and intellectually (for instance, what data did you collect and what conclusions did your data produce?). The scientific statement should not exceed a maximum of 2 pages.Letter(s) of RecommendationAt least one letter of recommendation must be submitted on your behalf. You may request one or two additional letters (a maximum of three total letters) be submitted on your behalf. Recommendations from your research advisors or internship mentors are most helpful.Please download the Letter of Recommendation Directions PDF and give it to each recommender. The directions will instruct him/her to email your recommendation to [email protected] by the application deadline - noon PST, Friday January 15, 2021 (12 pm PST 1/15/21). Be sure to ask your recommender(s) well in advance, so s/he has plenty of time to meet the deadline. Letters of recommendation sent by the applicant will not be accepted.Recommender(s)Please list the person or people who you have asked to write you a letter of recommendation. This information will help us contact the recommender if we encounter any submission problems.Don't forget that you must send the submission directions to your recommender(s).Recommender #1Full Name*Email* Recommender #2Full NameEmail Recommender #3Full NameEmail
