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
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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.
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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
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Preferred email address where confirmations are sent
Please confirm your preferred email
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This helps ensure accuracy
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 universities or 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.
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alternate email
Phone number where you are best reached?
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(###) ###-####
Date of Birth
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Today M-D-Y MM-DD-YYYY
Enter your complete preferred mailing address including city, state, and zip
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What is your lab coat size?
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Women's small Women's medium Women's large Women's XL Women's XXL Men's small Men's medium Men's large Men's XL Men's XXL
Gender
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Female Male Non-Binary Other
Please specify your response above
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Race
Please check all that apply
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Choose most descriptive option
Ethnicity
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Not Hispanic or Latino Hispanic or Latino Unknown
Choose most descriptive option
Are you a citizen of the United States?
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Yes No
Are you a Permanent Resident of the United States with a Permanent Resident ''Green Card'' or USCIS Form I-551?
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Yes No
Please describe and explain your citizen or immigration status. Please provide sufficient information for program directors to know how to best support you.
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1
Yes No Prefer not to answer
2
Yes
No
3
Yes
No
4
Yes
No
5
Yes No Unknown
6
Yes
No
7
Yes No Unknown
8a
Yes
No
Please enter the address that you provided in the question above
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8b
Yes
No
Please enter the zipcode you provided in the question above
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Yes
No
Please explain why you believe your circumstances or background qualify you as belonging to a population Underrepresented in Science
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Which option best describes your current educational level: Please note: This application is only for High School seniors and Undergraduate students who are Freshmen, Sophomores, or Juniors . If you are currently a high school junior, please complete the IUSCCC High School Summer Program application instead. If you are currently a 1st-year medical student, please complete the IMPRS application.
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High School Senior/Incoming Freshman Undergraduate Freshman Undergraduate Sophomore Undergraduate Junior
Which college or university will you attend in fall 2025?
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Indiana University, Indianapolis Indiana University, Bloomington Other IU Campus Jackson State University University of Notre Dame Purdue University Other College or University Unsure
Which Indiana University Campus will you attend in fall 2025?
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IU East IU Kokomo IU Northwest IU Southeast IU South Bend IU Fortwayne IUPUC
What College or University will you attend in fall 2025?
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What year did you graduate from high school?
2024 2023 2022 2021 2020 2019 Other
From which high school did you graduate?
Please provide name of high school and address
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Which high school are you currently attending?
Please provide name of high school and address
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What is your cumulative GPA ?
Note: Your GPA information will not be used for evaluating your application.
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Please upload your unofficial college transcripts here. Note: Transcripts will be accepted as .pdf files only. If you have multiple transcripts from different universities, please combine them into one file before uploading
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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
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Describe your familiarity with Microsoft Office programs such as Word, Excel and PPT or similar Google products.
Note: These skills are not an eligibility requirement for IUSCCC summer programs. Your response will be used to ensure you are placed into the most supportive environment for your training needs. Please provide sufficient and honest detail for program directors to match your skill set.
Describe any experience you have with software such as Prism/Graphpad, MATLAB, R Studio Statistics, and Image J as well as any experience you have coding within Python, Java, and Java Script. Note: These skills are not an eligibility requirement for IUSCCC summer programs. Your response will be used to ensure you are placed into the most supportive environment for your training needs. Please provide sufficient and honest detail for program directors to match your skill set.
As of now, which degree will you most likely pursue after you finish your bachelor's degree:
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Nursing or Nurse Practitioner Physical or Occupational Therapy Pharmacy (DPharm or other) Dentistry DDS or DMD PhD in Biomedical Science PhD in Biomedical Engineering PhD in Other field MD/DO Medical Degree MD-PhD Combined Program No further degree plans for now Other Degree Physician Assistant (PA)
Describe the degree you plan to pursue after receiving your bachelor's degree
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What are your personal and professional goals you want to accomplish after finishing your studies? What inspires you to pursue biomedical research?
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Which option best describes your prior participation in IU/IU School of Medicine summer research programs? Note: Prior experience is not an eligibility requirement for IUSCCC summer programs. Your response will be used to ensure you are placed into the most supportive environment for your training needs.
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I have NOT previously participated in programs at IUI/IUSM I have participated in programs at IUI/IUSM BOTH as an UNDERGRADUATE and as a HIGH SCHOOL student I have participated in programs at IUI/IUSM as a an UNDERGRADUATE Student I have participated in programs at IUI/IUSM as a a HIGH SCHOOL student
Please provide information regarding your past program participation. What year? Who was your mentor? What did you research?
Please provide sufficient detail for program directors to know what you accomplished. For multiple years please list them in chronological order providing relevant details for each year.
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Have you previously participated in any formal summer research program that was not provided by IU/IU School of Medicine and/or any scientific research independently? If NO, leave blank. If YES, please name the program(s) and mentor(s), describe program duration and requirements, briefly describe your research, and explain what grade / school year you were in at the time.
Note: Prior experience is not an eligibility requirement for IUSCCC summer programs. Your response will be used to ensure you are placed into the most supportive environment for your training needs.
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 and why you are interested in cancer research as opposed to other research areas.
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.
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If asked, would you be open to interning in a lab which conducts research using animal models? (For example: rodents, insects, annelids, or fish)
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Yes No Unsure
IUSCCC provides housing support to a portion of accepted students based on need, but slots are limited. Housing is a shared apartment-style unit with full appliances. Applicants from outside central Indiana who do not receive and/or need housing support have the option to stay with family or friends who live within 40 miles the IUI Medical Library (988 W Walnut St, Indianapolis, IN 46202).
Please note:
IU housing policy does not allow participants under the age of 18 (at time of program start) to stay in campus housing IUSCCC does not permit participants to stay in unsupervised accommodations such as hotels VRBOs, or AirBNBs during the duration of the program. Please select the option that best describes your summer housing needs.
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I already live in the Indianapolis area and will NOT need housing assistance this summer. I have parents, close friends and/or relatives where I can stay within 40 miles of the campus. I can participate in this program only if I receive housing support from the program.
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.
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Type your name here
Submit
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