Summer Program Application

To complete the application, use the arrows below to expand/collapse each section. Before you start the application, have the following readily available:

An electronic version of unofficial college transcript(s). Merge into one file if you have more than one. PDF is preferred.
The names and contact information for two faculty members who could provide an academic letter of reference (we will contact your references and ask them to send the letter directly to us).
- The letters of reference must be received from these individuals no later than February 1, 2025 (application deadline) at the following email address: HCCC-summer@healthcare.uiowa.edu.
- Request your letters early in your application process so they can have time to prepare a letter.

We suggest you read through the Information and FAQs page prior to applying.

Pursuant to federal law, you are hereby informed that the information supplied in this application may be used for research and evaluation of this program. Please check to indicate you have read this and understand.

Students must have health insurance coverage during the summer program. The program does not provide health insurance. Please check to confirm that you will have health insurance.

Yes

Are you a US Citizen or Permanent Resident?

Personal Information

First Name (legal)

(Optional) Middle Name

Last Name (legal)

(Optional) Nickname or preferred name?

Email address at your college/university

Email address - personal (not associated with your college/university)

Phone number

Address when not attending your college/university. Must include street address, city, state, and zip code.

Current address (while attending college/university). Must include street address, city, state, and zipcode.

Gender

(Optional) If you chose Other for gender, you can write that here

(Optional) What pronouns do you use?

Education

What college do you attend? If you have attended multiple colleges please list all.

What is your anticipated graduation date?

What is your major? Also your minor if you have one.

Unofficial transcript

Please upload a copy of your all of your unofficial transcript as it is currently. If you have attended more than one institution, please include as one PDF.

One file only.
50 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, avi, mov, mp3, ogg, wav, bz2, gz, sit, svg, tar, zip.

(Optional) We want to make sure that you have every opportunity to share additional context on your academic or personal background. CROI selection committees want to understand how your academic or lived experiences have shaped you for success in CROI.

Please address any concerns you may have in your application. If, for example, you do not believe that your academic credentials demonstrate your true capabilities, please explain why. Also, describe any gaps in your academic career or any extenuating circumstances of which the selection committee should be made aware. (350 word limit)

Research Experience and Interests

Why do you want to attend this program? What do you hope to gain from this experience? (1-2 paragraphs)

What do you find exciting about science and cancer research? (1-2 paragraphs)

Have you had any research experience before, in school/college or other areas? Please describe.

What are your career aspirations? (1-2 paragraphs)

Please select ALL types of research that interest you. You must hold down CRTL key or Command key (in Apple computers I think) to select multiple

(Optional) If you did not see one of your interests listed, please write about it here:

Letter of Recommendation Reference 1

Please provide contact information for a faculty member familiar with your qualities and academic abilities in the biological sciences. Your reference will receive an email from HCCC-summer@uiowa.edu.

Be sure to notify this person of your need for a recommendation letter.

First Name

Last Name

Job Title

Organization/College

Email address

Phone number

Letter of Recommendation Reference 2

Be sure to notify this person of your need for a recommendation letter.

First Name

Last Name

Job Title

Organization/College

Email address

Phone number

Demographic categories for students historically underrepresented in science

We encourage applicants from populations historically marginalized according to the NIH definition.

Per the SCOTUS ruling in June 2023, demographic information is collected for institutional reporting purposes only. This information will be masked and not provided to the selection committee.

Do you identify as one of the following racial/ethnic groups described below?

The following racial and ethnic groups have been shown to be underrepresented in biomedical research:

Black or African American
Hispanic or Latino
American Indian or Alaska Native
Native Hawaiian and Pacific Islander

Please check yes if you are part of one or more of these groups.

Do you meet the ADA criteria for a disability? (Optional)

Do you come from a background which is considered to be educationally, environmentally, or economically disadvantaged? (Two of these are required to qualify)

Were or currently are homeless

Were or currently are in the foster care system

Were eligible for the Federal Free and Reduced Lunch Program for two or more years

Have/had no parents or legal guardians who completed a bachelor’s degree (1st Generation)

Were or currently are eligible for Federal Pell grants

Received support from the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) as a parent or child

Grew up in a U.S. rural area, as designated by the Health Resources and Services Administration or Rural Health Grants Eligibility Analyzer, or b) a Center for Medicare and Medicaid Services-designated Low-Income and Health Professional Shortage Areas

In the Other field below, you can enter the zip code of your high school. We will be able to determine your qualification.

Other…

Definitions used for qualification

Disability, Homelessness, Foster Care, Free and Reduced Lunch, 1st Generation student, Pell Grant Eligible, WIC Eligible, Rural and Low Income Area

Comments

How did you find out about the CROI summer program?