SIBS 2014 Application

To complete this online application you will need to have the following information ready to upload, since it is not possible to save your application and come back to complete it at a later time. You will receive a confirmation email once the application is submitted.

1. Statement of Academic Interest and Career Goals. Describe your previous research experience (if any), scientific areas of interest, hobbies, and plans for post-baccalaureate research. Two pages maximum.

2. Resume.

3. Transcript. To maintain your privacy, transcripts should NOT be uploaded. Please mail yours to the SIBS address below. We accept official or unofficial transcripts, to include Fall 2014 grades. If you are chosen to be a SIBS student you will be asked to submit an official transcript at that time.

4. Recommendations. You will need to input contact information (name, institution/dept, email and phone) for your two references. Recommendations must be confidential, and should be submitted directly from the faculty to Dr. Robin Lorenz at rlorenz@uab.edu (preferred) or mailed to the address below. Letters of recommendation must be received by the deadline, February 15, 2015.

Robin G. Lorenz, MD, PhD
Assistant Dean for Physician-Scientist Education
Director, SIBS Undergraduate Research Program
University of Alabama at Birmingham
1720 2nd Ave. South, SHEL 602
Birmingham, AL 35294-2182

Questions? Please contact the SIBS office at jackiebennett@uab.edu or phone 205.934.0440.

First Name (*)

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Last Name (*)

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Current Street Address (*)

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City (*)

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State (*)

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Zip Code (*)

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Permanent Street Address (*)

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City (*)

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State (*)

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Zip Code (*)

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Preferred Email Address (*)

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Preferred Telephone Number (*)

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Undergraduate Institution (*)

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Major (*)

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GPA (*)

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Expected Graduation Date
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SIBS is designed for current Sophomores and Juniors. In March 2015, which will you be? (*)

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If Other, please specify

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SIBS students must either be US Citizens or Permanant Residents. Please mark your status. (*)

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Gender (*)

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Date of Birth (*)
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Ethnic Catagory (*)

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Racial Category (*)

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If Other, please specify

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Do you have prior research experience? (*)

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How did you hear about SIBS?

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Letters of Recommendation
Please request letters of recommendation from two faculty members who best know your academic work. Recommendations must be confidential. They may be emailed directly from the faculty to Dr. Lorenz at rlorenz@uab.edu (preferred) or mailed to the address below:

Robin G. Lorenz, MD, PhD
Assistant Dean for Physician-Scientist Education
Director, SIBS Undergraduate Research Program
University of Alabama at Birmingham
1720 2nd Ave. South, SHEL 602
Birmingham, AL 35294-2182

Reference 1 Name (*)

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Reference 1 Institution/Department (*)

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Reference 1 Email Address (*)

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Reference 1 Phone (*)

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Reference 2 Name (*)

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Reference 2 Institution/Department (*)

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Reference 2 Email Address (*)

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Reference 2 Phone Number (*)

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Statement of Academic Interests and Career Goals
Please upload your Statement of Academic Interests and Career Goals: describe your previous research experience (if any), scientific areas of interest, hobbies, and your plans for post-baccalaureate training (maximum of two pages). (*)

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Resume
Please upload your resume. (*)

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Checking this box certifies that the information submitted is true and accurate. (*)

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Please enter the following characters: (*)

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Thanks for applying! You will receive a confirmation email once your application has been submitted.


 

 

 


 



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