The Application – MHI SUMMER

2025 MHI SUMMER APPLICATION

Application for MHI SUMMER students

Date

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Phone #

College Email

Alternate Email

Current College

If other, please state where:

Are you a United States citizen or permanent resident?

Are you a member of an underrepresented group in science?

Individuals that are first generation college students and/or Individuals from racial and ethnic groups that have been shown by the National Science Foundation to be underrepresented in health-related sciences on a national basis (see data at http://www.nsf.gov/statistics/showpub.cfm?TopID=2&SubID=27, and the report Women, Minorities, and Persons with Disabilities in Science and Engineering). The following racial and ethnic groups have been shown to be underrepresented in biomedical research: Blacks or African Americans, Hispanics or Latinos, American Indians or Alaska Natives, Native Hawaiians and other Pacific Islanders.

If so, please specify

Individuals from racial and ethnic groups that have been shown by the National Science Foundation to be underrepresented in health-related sciences on a national basis (see data at http://www.nsf.gov/statistics/showpub.cfm?TopID=2&SubID=27, and the report Women, Minorities, and Persons with Disabilities in Science and Engineering). The following racial and ethnic groups have been shown to be underrepresented in biomedical research: Blacks or African Americans, Hispanics or Latinos, American Indians or Alaska Natives, Native Hawaiians and other Pacific Islanders.

Confirm by checking the following(Required)

You are a U.S. Citizen

You are a rising/current junior, senior, or graduate this spring 2023

have at least a 3.0 G.P.A

Will NOT be enrolled in Summer classes 2024

Will NOT be planning on taking the MCAT Summer/Early Fall 2024

WILL NOT be working a job in addition to this internship during the summer

Requirements to be able to apply, if you do not meet these requirements, apply when when/if you do

How did you learn about MHI SUMMER?

Current University, City, State

Classification(Required)

Expected Graduation Date(Required)

GPA(Required)

Previous College, City, State

Please list any relevant scholarships, awards, honors

Are you currently receiving funding or support from AHA? If so, please describe.

Career Goal #1

Career Goal #2

If other, specify here

In 100 words or less, please enter your " Statement of Career Objectives ":

References

Provide 1 reference. This reference must email MHISUMMER@unc.edu with a subject headline of “YOUR FIRST INITIAL.LAST NAME.MHI SUMMER REF”. For example, Subject Headline: R.Morales.MHI SUMMER REF *This must be submitted before the deadline*

Has your formal reference letter been submitted? * Applications are considered incomplete without formal reference submission

Yes

Have you ever worked/interned in a research lab? If so, explain your experience, otherwise put N/A. Side note: No previous research experience is required.

Why do you want to do this?

Please describe obstacles you have overcome in your life to obtain an education.

MHI SUMMER participants are required to be present for the entire 10 week experience AND attend conference in Baltimore in July. Are you able to be present for both?(Required)

Upload CV/Resume

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Upload Unofficial Transcripts

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Date

Name

First Last

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