How to Apply

Interested applicants should complete the online application below and upload the required attachments, including a transcript, resumé and essay, each as a PDF. One letter of recommendation is also required and should be submitted separately via this form by the individual providing it. The complete application, including the letter of recommendation, is due Feb. 4, 2022, at 5 p.m. CST. 

View the recommendation submission form here.

Required Materials

Be sure to have all required information and documents ready before starting this application. The application must be completed at one time. It is not possible to save and finish later.

Resumé

Attach a current resumé that outlines past work, research and extracurricular activities.

High School Transcript

Attach a copy/scan of your official high school transcript. If you have attended more than one high school, please include more than one transcript. Reviewers will want to see your complete academic history.

Essay

At a maximum of two (2) pages, single spaced, with one-inch margins and 12-point font, prepare an essay that addresses the following topics:

  • Brief personal and family background
  • Extracurricular activities
  • Career interests
  • Why you feel you are uniquely deserving of the opportunity above others
  • Discuss an experience from your past that you feel demonstrates your greatest strengths

Contact our team with questions at SurgSummerPrograms@uabmc.edu.

 

PRISM Application

Applicant Name
Please enter your first name.

Please enter your middle name.

Please enter your last name.

Mailing Address
Please enter your street address.

Example: 222 Smith Road

Please enter your city.

Please enter your state.

Please enter your ZIP code.

Please enter your phone number.

Please enter your email address.

Please enter your birthdate. \

Please enter your place of birth.

Example: Dothan, Alabama

Please make a selection.

Please select all that apply.

Please indicate your race.

If you selected Other, please specify your race, assuming it is not listed above.

Please select your ethnicity.

Please select your U.S. citizenship status.

Please indicate your U.S. citizenship status.

If you selected Other, please specify your U.S. citizenship status, assuming it is not listed above.

Please enter the name of the high school you currently attend.

Example: Northridge High School

Please enter your GPA.

Please enter your overall ACT score.

Please enter the first and last name of one of your parents.

Please enter the daytime phone number of one of your parents.

Please enter the email address of one of your parents.

Please enter the first and last name of one of your parents.

Please enter the daytime phone number of one of your parents.

Please enter the email address of one of your parents.

Please enter the name of the individual providing your letter of recommendation.

Please upload a PDF of your essay.

Please upload a PDF of your resumé.

Please upload a PDF of your high school transcript.

Invalid Input

Please submit your application using the Submit button below. You will receive a confirmation email when your application has been received.