EMRD Summer Program
Research Assistant Application 2015
First Name
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Last Name
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Email Address
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Cell Phone
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Phone Number
Date of Birth
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Hometown (City, State)
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University
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Expected Date of Graduation
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Expected Major(s)
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Expected Minor(s)
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Career Goals
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Additional Information
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How did you learn about the EMRD?
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Case Daily
PreMed Advisor
Campus Flyer
SOURCE Office
Meet the Faculty
Other
Other (please specify)
Have you had any prior research experience?
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Yes
No
If yes, please describe the nature and length of your research.
We are looking for unique, motivated students to be a part of our team. What are some qualities that you possess that set you apart from other applicants? Please list at least 2.
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What other commitments would you have this year?
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Briefly explain below why you are interested in doing research in the Emergency Department.
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What skills do you bring to our team (such as database management, statistical knowledge, previous research, etc.)?
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Additional Documentation
Upload your CV Here
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Upload a photo of yourself here
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Applications will be considered complete once this form, along with your CV, are received. We are accepting applications from February 3rd to March 15th at 11:59 PM. You will be notified shortly afterward if you are selected for an interview.
Submit Application
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