IU Simon 2023 High School Summer Programs Application

Thank you for your interest in the IU Simon Comprehensive Cancer Center 2023 Summer Programs. This application is for high school students hoping to participate in the Future Scientist Program.

To learn about program eligibility, dates, and financial information, please click this link.

Please note: This application is only for high school juniors. If you are a university Undergraduate student or high school senior, please complete the IUSCCC Undergraduate Summer Program application instead. If you are an undergraduate student in your senior year and are interested in assistance with your application to an MD or PhD program, please complete the IADEP application instead.

Your application will consist of this form, your academic transcripts, and one letter of recommendation from a current or former instructor.

For additional information, please email SimonEdu@iupui.edu

Official LAST NAME.

Please provide your LAST NAME as it appears on your social security card, or other similar official documents. If your last name is more than one word, please include it as it appears on your official documents

* must provide value

Official FIRST & MIDDLE NAMES.

Please provide your first and middle names the way they appear on your social security card, or other similar official documents.

* must provide value

What is your preferred email where we can write you to follow up on your application?

Note: This is the email where you will receive confirmations and follow up links for your application

* must provide value

Please confirm your preferred email

* must provide value

Please double check your personal email entries - they do NOT match

Please provide an alternate email in case we cannot contact you via your preferred email for any reason.

Because institutional email addresses such as those belonging to high schools sometimes employ a firewall which blocks email external to the institution, we ask that your alternate email be from a non-institutional provider such as gmail or yahoo.

* must provide value

Phone number where you are best reached?

* must provide value

What are the names of the Parent(s) or Guardian(s) that you live with?

If you have a shared custodial arrangement, please add name/s of other custodial parents on the next question.

* must provide value

Name(s) of Additional Custodial Parents or Legal Guardians with shared custody.

Enter your complete address including city, state, and zip

What is the best phone number where one of your parents and/or guardians can be reached?

What is the best email address where one of your parents/guardians can be reached?

This must be a parent/guardian with whom you share an address. Your parent/guardian will need to complete their own portion of this application, so it is important that you enter the correct email address

Date of Birth

* must provide value

M-D-Y

Gender

* must provide value

Race

* must provide value

Ethnicity

* must provide value

Are you a citizen of the United States?

* must provide value

Are you a Permanent Resident of the United States with a Permanent Resident ''Green Card'' or USCIS Form I-551?

* must provide value

Please describe and explain your citizen or immigration status. Please provide sufficient information for program directors to know how to best support you.

* must provide value

What year is your expected graduation?

Please note: This application is only for high school juniors. If you are a university Undergraduate student or high school senior, please complete the IUSCCC Undergraduate Summer Program application instead. If you are an undergraduate student in your senior year and are interested in assistance with your application to an MD or PhD program, please complete the IADEP application instead.

* must provide value

Which high school are you currently attending?

Please provide name of high school and address

* must provide value

What is your cumulative GPA ?

* must provide value

Please upload your unofficial high school transcripts here.

Note: Transcripts will be accepted as .pdf files only. If you have multiple transcripts from different high schools, please combine them into one file before uploading

* must provide value

Upload file

Describe your familiarity with Microsoft Office programs such as Word, Excel and PPT.

Note: These skills are not an eligibility requirement for IUSCCC summer programs. This question is for placement purposes. Please provide sufficient and honest detail for program directors to match your skill set.

Expand

As of now, what do you plan on studying in college?

* must provide value

As of right now, what is your intended career path after finishing your studies? ? What are some things you hope to accomplish in your career?

* must provide value

Expand

In the past three years, in what athletic, artistic, extracurricular, community, church or other volunteer activities have you participated?

Please limit your answer to 300 words and specify which activities were during college and which during high school.

* must provide value

Expand

In the past three years, what academic or community awards have you received that will help the committee understand your achievements to date?

Expand

Please provide an explanation of your interest in cancer research and the IUSCCC summer programs. In your explanation, be sure to include how you think your participation would benefit your personal, educational and career goals.

Note: Please be clear in your description of why you are specifically motivated by cancer research in contrast to other research areas within the medical sciences.

* must provide value

Expand

Enter your name on this line to certify you have completed this form with accurate information.

After you click submit you will receive a confirmation email to your personal email address (not your school email) that you provide.

* must provide value

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.