ACTRE 2014 Application
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PERSONAL INFORMATION

This information is voluntary and refusal to provide it will not subject you to any adverse treatment. This information will be kept confidential and will be used only in accordance with Title VI of the Civil Rights Act of 1964 and Title IX of the Education Amendment of 1972. This information is used by Emory University and Morehouse School of Medicine to track program application trends.

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ELIGIBILITY DETERMINATION

This information is used by Emory University and Morehouse School of Medicine to determine eligibility for the CPDR research scholar program and to track program application trends. Your responses to these questions will be kept confidential.

* I qualify for the CPDR research scholar program because I am an individual
* Are you a US Citizen
 

ACADEMIC INFORMATION

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* Are you enrolled as a full-time student?

RESEARCH PROGRAM INVOLVEMENT

This information is requested to avoid funding conflicts that may jeopardize undergraduate research programs at our institutions and yours. Specifically, an individual should not be paid twice for a given period of research experience. This information will only be relevant in the event of an award; participation or lack thereof will not affect the review of your application to the ACTRE program.

* You are participating in a research program at your home institution that is funded by the U.S. government. (Examples of such programs are M.A.R.C. and M.B.R.S.)
 
Will you receive pay from this program during the summer months and academic year?

AVAILABILITY & SUMMER HOUSING NEEDS

The 2014 ACTRE Summer program will run from May 27 -August 1, 2014

* Will you be available for the duration of the program (see above)?
 
* Will you require summer campus housing? (on-campus, shared double occupancy room)


 

 

 

 

 

ACTRE 2014 Application Check List

* Have you included the following to officially apply for the 2013 ACTRE Program?

All Applications and its components will be due by 5pm, March 14, 2014. Late documents submissions will NOT be accepted.  Please forward all paperwork to:
 
Ms. Felicia Underwood
Deparment of Gyn/Ob
Emory University School of Medicine
1639 Pierce Drive, Suite 4217 WMB
Atlanta, GA 30322
funderw@emory.edu
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