Full Application Form
Application Deadline February 7, 2014
Idaho INBRE
Summer 2014 Undergraduate Fellowship Program
Note: To be eligible for an INBRE Undergraduate Summer Fellowship, you must be graduating
with a Bachelor’s degree no earlier than December 2014. Students graduating with a Bachelor’s
degree in May or August 2014 will not be eligible in 2014.
Choose the Institution you are applying to:
a.
Boise State University
b.
Boise VA Medical Center
c.
Brigham Young University - Idaho
d.
The College of Idaho
e.
Idaho State University
f.
Lewis-Clark State College
g.
Northwest Nazarene University
h.
University of Idaho
Enter name and contact information where
we will be able to reach you in March/April.
Please enter your current education
information:
Name:
Current Educational Institution:
Complete Address:
Major:
Expected Month and Year of Graduation:
Phone:
Current Grade Point Average:
Email:
Where did you graduate from high
school?
Name of High School:
City:
Zip:
State:
Please enter your full permanent
residence address (non-school
hometown)
City:
Street:
State:
Zip:
What is the highest level of education
your parents have attained? (Please enter
one choice for each parent – High School,
Some College, Assoc. Degree, BA or BS, MA
or MS, PhD, MD, or any other degree as
appropriate)
Mother:
Father:
What are your current education and career plans? If you are currently a student at a
community college, do your plans include transferring to another Idaho school to complete your
Bachelor’s degree? If you are planning to go to graduate school, are you considering enrolling in
an institution in Idaho?
Describe the research experience you have had.
What do you hope to gain from an INBRE Summer Research Fellowship?
Write a statement about obstacles you have overcome to pursue your educational goals.
Name and contact information of your mentor:
Name:
Email:
Name and contact information of reference(s). Two references are required: either Mentor
+ one additional reference, or, if Mentor is not a reference, two additional references.
Name:
Email:
If Mentor is not a reference:
Name:
Email:
I certify that I fully understand the questions on this form and that information given in this
application is true and correct. If I am selected as an INBRE Fellow, I give the INBRE program
permission to include my name, institution, major and hometown in statewide press releases
announcing all Fellows.
Name:
Date:
Submission Instructions
Application Form
Idaho INBRE
Application deadline February 7, 2014
Summer 2014 Undergraduate Fellowship Program
Steps to submit the Fellows Application packet:
1. Be a student enrolled at an Idaho college or university who will be graduating with a
Bachelor’s degree on or after December 2014. Students graduating in May or August
2014 will not be eligible in 2014.
2. Complete the Fellows application form.
3. Choose a mentor for a biomedical research project. Students may choose from the
Faculty Mentors list on the website or from any faculty member active in biomedical
science.
4. With the chosen mentor, prepare a Summer Research Plan describing the 10-week
summer research project.
5. Assemble and submit the application packet. Packet must include an application form, a
copy of the most current transcript (unofficial is acceptable), and the Summer Research
Plan.
6. Request two confidential letters of reference. One of the may be your mentor.
References must be submitted via the online form at inbre.uidaho.edu/references.
References are due by the application deadline of February 7, 2014.
The Idaho INBRE Fellowship program is a competitive program. The number of applications we
receive will exceed the available Fellowships. In order to be considered for a Fellowship we
must receive your completed application packet, letters of reference, by the due date of
February 7, 2014. We cannot consider incomplete packets.
If you have questions, or difficulties completing this form, please contact the INBRE office at
(208) 885-5373 or inbre@uidaho.edu.
***The Idaho INBRE 2014 Summer Fellows program is contingent upon timely
distribution of federal grant funds***
The Idaho INBRE (IDeA Network for Biomedical Research Excellence) Program is
sponsored by NIH-NIGMS (National Institute of General Medical Sciences) Grant
#P20 GM103408.