Emergency Medicine Research Associate Program Instructions Please use Microsoft Word to fill out the electronic application. Once completed, please save the application in PDF format “Last Name, First Name, Upcoming Quarter, Year.doc” (ex. “Smith, John, Summer 2011.pdf”) and email it with the subject titled “Quarter Year Application” (ex. Winter 2012 Application) to the Chief RA at EMRAPChiefRA@gmail.com. All applications must be submitted through a UC Davis e-mail account for verification. Please do not submit resumes or other supplemental documents. Applications that do not follow instructions will not be considered. APPLICATION DEADLINE: 11:59pm February 16th, 2013 Internship Requirements/ Qualifications Must be a registered UC Davis student (exceptions may be made only during the summer) Cumulative GPA of 2.7 or higher recommended, but any strong application with a lower GPA will be considered Prior healthcare experience recommended but not required Able to commit minimum two consecutive quarters (though participation during summer is optional, preference will be given to those that can stay during the summer) Attend all of the following o ICC Confirmation Meeting TBA o If you are a new volunteer for UCDMC, Volunteer Services Orientation: Date/Time TBA at UCD Med Center Campus Attend mandatory weekly lectures at the UCD Medical Center (2hrs/wk) Tuesdays 4-6pm Give one 10 minute presentation on a medically related topic and pass quizzes and a final on research study protocols and weekly lectures Work one four-hour shift per week (In addition to mandatory weekly lectures) v. 1/27/13 EM EMRAP Application Name: Last First Middle Street City State Address: Telephone: ( ) - ( ) Zip - Home Cell Email Address** Student ID Number Please check all that is applicable for the upcoming quarter. I am currently a registered UC Davis student. I am not/do not plan on registering at UC Davis for the upcoming quarter (for PELP students, soon-to-be graduates, etc). I am transferring to UCD during the next academic year. I am a reapplicant. I am listing all quarter(s), year(s) I have applied before: I will be able to participate in EMRAP during either or both Summer Sessions. I will not be able to participate in EMRAP during the summer. GPA* Select one Major Year in School Anticipated Date of Graduation (Month, Year) List any previous universities/colleges attended Your Short Term Goals (100 words) and Long Term Goals (100 words) List up to five most recent work, volunteer, health care, and/or research experiences including a description (25 words max) Please follow the format shown in the example. Example: Emergency Medicine Research Associate Program (September 2011 – present): Assist in clinical research at UC Davis Medical Center Emergency Department by screening, recruiting, and consenting eligible patients. 1. 2. 3. 4. 5. * Please use the cumulative GPA listed as “Overall” on your Final Grades in SisWeb for UC Davis. Do not round or estimate your GPA. If you recently transferred to UCD and do not have grades for UCD, please list the GPA(s) obtained at your previous institution(s) of learning. **If you are affiliated with UC Davis, you must use your UC Davis email account. No exceptions. Essays: Please answer the following questions to the best of your ability. What made you apply for EMRAP? What do you hope to get out of this experience? (200-250 words) The Emergency Department is a high-stress and fast paced environment. Can you give us an example of when you had to handle a high stress environment? What did you do and what would you do differently? (200-250 words max) To be a successful RA, we expect you to be motivated to learn, adapt to the environment quickly, and have good communication skills. What skills have you acquired through your previous experiences that can contribute to the program and your success in the internship? Use work, volunteer, research experiences, etc. Please be specific. (300350 words max) v. 1/27/13 EM