SUMR Program Application Instructions

  1. Complete the SUMR Program application below. You will receive an automatic email on successful submission.
  2. Email the following to SUMR@uiowa.edu:
    A.   Your CV or Curriculum Vitae (view a sample CV).
    B.   A copy of your transcript(s) from your undergraduate institution(s).
          Unofficial copies are acceptable. If needed, we will ask for official copies at a later date.
  3. Contact your letter writers and have them email their letter to SUMR@uiowa.edu.
    Hard copies scanned and emailed from your mentor or mentor's office are acceptable.
    Emailed letters are preferred, however, our physicial address is below. Please let us know if we should be expecting a paper copy.

    SUMR Program
    University of Iowa
    2206 MERF
    Iowa City, IA 52242

    The SUMR Application deadline has been extended until January 26, 2018.

    Letters of reference need to be received by February 1, 2018.

PLEASE NOTE:  You are unable to save this application for completion at a later time.

You can either:

Save long blocks of text in another program, then copy and paste the text into the form. Use plain text, avoid using smart quotes, em dashes, and greek characters (they are not translated properly when the form is submitted).

or:

Complete the application using the form, however, print a copy of the form before hitting the "submit" button at the bottom. If there is a problem with your submission and you get an error, hit "back" and try submitting again. If you still get an error, email us the pdf you printed.



PERSONAL INFORMATION:

* First Name:
* Last Name:
* Email:

* email must be valid with an "@" sign or the form will produce an error when you try to submit.

Are you a United States Citizen?     Yes No
If "no," are you a permanent U.S. Resident?     Yes No
Date of Birth: (MM / DD / YYYY)
Gender:
 
Permanent Address:
Address2:
City:
State    Zip/Postal Code
Cellphone:
 
Race and/or Ethnic Origin (optional):
African American
Latino (a)
White
Native American/American Indian
Native Pacific Islander
Other (please specify)   

UNDERGRADUATE INSTITUTION(S):

Expected date of graduation:       (MM / DD / YYYY)
 
Current Undergraduate Institution
Institution
Location
(city, state)
Dates Attended
Major
GPA   Degree  
Previous Undergraduate Institution
Institution
Location
(city, state)
Dates Attended
Major
GPA   Degree  
Previous Undergraduate Institution
Institution
Location
(city, state)
Dates Attended
Major
GPA   Degree  

RESEARCH EXPERIENCE:

Last (or current) Research Experience
Dates of Research Experience
Average Hours Per Week
Research Mentor and Institution

Description of the Project Including any Project Accomplishments and/or findings
Current number of words remaining:    

Your role in the Project
Current number of words remaining:    

Abstract or Publication reference or citation associated with this research experience if applicable
Current number of words remaining:    

 
Previous Research Experience (Second)
Dates of Research Experience
Average Hours Per Week
Research Mentor and Institution

Description of the Project Including any Project Accomplishments and/or findings
Current number of words remaining:

Your role in the Project
Current number of words remaining:    

Abstract or Publication reference or citation associated with this research experience if applicable
Current number of words remaining:    

 
Previous Research Experience (Third)
Dates of Research Experience
Average Hours Per Week
Research Mentor and Institution

Description of the Project Including any Project Accomplishments and/or findings
Current number of words remaining:    

Your role in the Project
Current number of words remaining:    

Abstract or Publication reference or citation associated with this research experience if applicable
Current number of words remaining:    

LETTERS OF RECOMMENDATION:

From whom should we expect a Letter of Recommendation?
Please note: we do not contact the people below on your behalf.

Your Research Mentor:
Name
Title (professor, etc)
Institution
Email:
 
2nd Recommender:
Name
Title (professor, etc)
Institution
Email

RESEARCH INTEREST:

Please rank the three top research areas you would like to pursue in our program:

FACULTY INTERESTS:

Are there any faculty members you are interested in working with or other information that can help us identify a research mentor?
(Note: we cannot guarantee placement in any specific lab)

Current number of words remaining:    

CAREER PLANS:

Discuss briefly your educational and/or career plans and your reason for interest in MD/PhD training:
Current number of words remaining:    

ADDITIONAL INFORMATION:

Provide any additional information relevant to your application or research that may help us evaluate your application:
How did you hear about the Iowa SUMR Program:

CERTIFICATION / SUBMISSION:

I certify that the information in this application is true and correct to the best of my knowledge.

* Today's Date: (MM / DD / YYYY)

IMPORTANT: Please take a moment and either print or save your application in case there is a problem with the submission. It does happen.

After submission you should see a screen displaying the information you entered. You will also receive an automated email confirming your application was submitted.

If the page errors out, press the BACK button and try again. If it does not work, email a copy of your application you saved to SUMR@uiowa.edu.

Please be patient, it takes a moment.