Howard Hughes Medical Institute – Integrating Medicine into Basic Science 2007-08 Application

Required

First Name:
Last Name:
Gender: M F
Citizenship: U.S.   
URM: Yes No     If yes, list ethnicity:
Decline to state
Major:
Graduate Program/Group:
Date Entered PhD Program at UC Davis (mm/dd/yyyy):
Phone (home):
Phone (UCD lab):
Email (home):
Email (UCD lab):
GRE Scores:
Graduate GPA (PhD):
MA/MS: MA MS None
Institution:
Undergraduate GPA (BA/BS):
Institution:
 

Preceptor (Nominator)
Preceptor Name:
Title:
Department:
Phone:
Email:
Lab Research Focus (Although not required, include any work related to vascular disease:

Please limit your response between 500-700 words.
 

Student Name (Nominee)
1. Briefly describe your research project (interests) and objectives using the "first person case" to indicate your work. This description should fit in the space provided below. This description may be used in an actual progress report, so compose it with care.

Please limit your response between 500-700 words.
2. (Personal Statement) Briefly outline why you are a strong candidate for the IMBS program, addressing your interest in translational biomedical research (include personal qualities as well as academic background).

Please limit your response between 500-700 words.
3. Please list your publications, oral and poster presentations, abstracts, and manuscripts-in- preparation below.

Please limit your response between 500-700 words.
 
Please submit copies of transcripts and GRE scores and letter of recommendation by faculty mentor to 0301 Life Sciences Building by 5PM on Thursday, May 1, 2008. If you have any questions, please contact Dr. Judith Kjelstrom at jakjelstrom@ucdavis.edu or 752-8228 or 752-3260 (main desk).
 
Please acklowledge the above listed requirement by checking here:
I Understand that I am required to submit the above documents no later than Thursday, May 1, 2008.