TABERC Internship Application

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TABERC
Internship Information and Application
Summer 2013
About TABERC
TABERC is a faculty consortium of all area institutions of higher education (OSU, OU, TU, ORU, TCC, Tulsa
Tech, Rogers State, LU-Tulsa, and NSU) whose intent it is to provide bioscience education, training and
research opportunities to students in the region, and to provide a forum for interested faculty, staff and
students to exchange ideas and foster cross-disciplinary and cross-institutional collaborations.
Internship Goals
TABERC wishes to provide research opportunities for undergraduates who are interested in bioscience
disciplines. The internship will begin with a mandatory orientation session. This training will complement a
160 hour laboratory experience (work schedule will be arranged with the hosting lab) at one of the TABERC
institutions. The internship will begin in June 2013. Students selected for this competitive internship will
receive a $1000 stipend.
Qualifications
1. Students must be freshmen, sophomore, or junior status
2. Student must be currently enrolled in a TABERC participating institution in good standing
3. Accepted students must be eligible for employment in the U.S.
4. Selected students must attend mandatory orientation
Selection
A selection committee will review all applications and supporting documents and select students for this
research experience based on need, eligibility, academic achievement, and interest in bioscience research.
TABERC will not discriminate against any person on the grounds of race, color, religion, age, sex, disability,
national origin, or status as a veteran.
Application
Students must provide the following:
1. Completed application form
2. Unofficial copy of your undergraduate transcript(s) – scanned to email.
3. “Letter of Intent” 1-2 pages describing interest in bioscience, future goals, and how the internship will help
accomplish your goals. Please include why you would like to be selected for the program and describe any
prior research experience that you have had. The statement will be used to match you with a mentor.
4. One letter of reference from a faculty member who knows you well and can address 1) your ability to
succeed in this program and 2) how the program will benefit you. Letters should be mailed from the
faculty member’s work email account to julie-marino@ouhsc.edu.
5. The completed application and supporting documentation is due by March 1st , 2013 to be eligible for the
Summer 2013 research experience. Further questions can be directed to julie-marino@ouhsc.edu.
6. Please email all materials (except for reference letter) in a single email to (include TABERC summer
research program 2013 and your first and last name in the subject line):
Julie Marino, Ph.D.
Julie-Marino@ouhsc.edu
TABERC Internship Application
APPLICANT INFORMATION
Last Name
First
M.I.
Street Address
Date
Apartment/Unit #
City
State
ZIP
Cell
Phone
E-mail Address
Gender (optional) :
Are you a citizen of the United States?
YES
If no, are you authorized to work in the U.S.?
NO
YES
NO
Please select category that best describes you (optional):
Native American or Alaskan Native
Black or African American
Native Hawaiian or Pacific Islander
Other
Asian
__________________________
White
Prefer not to Answer
Please describe the ethnicity that best describes you (optional):
Hispanic or Latino
Not Hispanic or Latino
Prefer not to Answer
During your childhood, was your community (optional):
Very urban (big city)
Rural (small town)
Urban (medium sized city)
In- between urban and rural (small city)
Very rural (outside of town/city limits)
Prefer not to answer
Are you the first member of your immediate family to attend college?
YES
NO
Briefly describe your long-term career goals:
Which of the following best describes you?
I am the type of person who can work well with minimal supervision.
I work best when someone supervises me closely, giving me deadlines to meet.
I work best with initial hands-on training followed by periodic feedback.
Have you participated in a TABERC Summer Research Program before? If so, when?
Please describe your level of research experience:
EDUCATION
High School
From
Address
To
College
From
Address
To
Major (s)
College
From
Address
To
Major (s)
College Hours Completed:
Cumulative Undergraduate GPA:
GPA in your college major:
Expected Graduation Date:
Standardized Test Score(s) – ACT /SAT /GRE/MCAT ( if available indicate which test and score):
REFERENCE
Please list one professional reference (other than reference that provided a letter of recommendation).
Full Name
Relationship
Company
Phone
(
)
Address
EMPLOYMENT, VOLUNTEER RESPONSIBILITIES, COMMUNITY ACTIVITIES
Provide a description below.
EXTRA-CURRICULAR ACTIVITIES, AWARDS
Provide a description below.
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
Signature
Date
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