SSRI Application, Page 1
Yale-New Haven High School Summer
Science Research Institute:
Main Application
Thank you for your interest in the 2016 Summer Science Research Institute
(SSRI).
Please follow these instructions as you complete your application:
1. Fill out the Main Application as a Microsoft Word document.
2. Check http://yalessri.com/ regularly for updates.
3. Your full application, including this document, your resume, your official
recommendation, and your transcript must be submitted to SSRI by March 15, 2016
(11:59 PM), by emailing SummerScienceResearchInstitute@gmail.com. Please use the
subject line “SSRI Application: Your Full Name, Student.” Incomplete applications will
not be considered.
4. Application Checklist:
a. Part One: Personal Information (can be found in this document)
b. Part Two: Lab Selection (can be found in this document)
c. Resume
d. Official Transcript (obtained from your school)
e. Recommendation (form can be found on our website)
5. The recommendation form can be downloaded from our website, http://yalessri.com/.
Your recommendation should be written by a high school STEM (Science, Technology,
Engineering, or Math) teacher. Your teacher must submit their recommendation by
March 15, 2016 (11:59 PM) by emailing it from their official school email address to
SummerScienceResearchInstitute@gmail.com with the subject line “SSRI Application:
Student’s Full Name, Recommendation.” Ask them to email you after submitting the
recommendation, so that you can ensure that it is submitted on time.
6. Here are some links to online resources that can help you create an effective resume:
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http://jobsearch.about.com/od/college/a/high-school-resume-examples.htm
https://bigfuture.collegeboard.org/explore-careers/careers/how-to-create-your-resume
7. Please refrain from indicating your lab preferences on your resume.
8. If you have any questions, please contact SummerScienceResearchInstitute@gmail.com.
SSRI Application, Page 2
PART ONE: Personal Information
Full Name: ______________________________________________________ Gender: _____________ Age: ________
Date of Birth: _________________ Street Address:______________________________________________________
City: ____________________________________________ State: ___________________ Zip Code: ________________
Student Cell Phone Number ((xxx) xxx-xxxx): ____________________________________________________
Home Phone Number ((xxx) xxx-xxxx):____________________________________________________________
Student Email Address: _____________________________________________________________________________
Current High School: ________________________________________________ Current Grade Level: ______
Name of Recommender: ____________________________________________________________________________
Recommender Email Address: ____________________________________________________________________
Short Answer:
Describe a specific topic or problem in science, math, or engineering that excites you and
why:
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SSRI Application, Page 3
NOTE: THIS PAGE IS REQUIRED BUT WILL NOT BE SENT TO PROFESSORS.
Part Two: Lab Selection
Please Rank your TOP FIVE choices for labs to work in this summer:
Ranking
1
2
3
4
5
Lab Name and Department
List of Scientific Research Labs:
*This is meant only as a reference. A more detailed list, including lab requirements and a brief
description of the work that you would be doing in each of the labs is included in the “Student
Information Packet” on our website, http://yalessri.com/.
Labs
Clay Lab
Cooley Lab
Elimelech Lab
Fan Lab
Gendron Lab
Hyder Lab
McGovern Lab
Newhouse Lab
O’Hern Lab
Program for Anxiety
Disorders
Schepartz Lab
Townsend Lab
Weatherbee Lab
Zenisek Lab
Zimmerman Lab
Departments
Molecular, Cellular, and Developmental Biology
Genetics
Environmental Engineering
Biomedical Engineering
Molecular, Cellular, and Developmental Biology
Biomedical Engineering and Diagnostic Radiology
Emergency Medicine
Chemistry
Mechanical Engineering and Materials Science
Yale Child Study Center
Chemistry
Biostatistics
Genetics
Cellular and Molecular Physiology
Chemical and Environmental Engineering
SSRI Application, Page 4
Professors want interns who are excited about the work their lab does. Please write a brief
statement detailing why you want to work in each of your top three labs. Please do not
indicate the relative ranking of these labs on this page of the application.
Lab Name: ______________________________
I would like to work in this lab because:
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Lab Name: ______________________________
I would like to work in this lab because:
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I would like to work in this lab because:
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