Application Form for
2020 Summer Research Internships
in the American Heart Association Undergraduate Summer Research Program at Marshall University

General Guidelines and Information

Applications are requested for participation in the 2020 Summer Research Internship program sponsored by the AHA which will run from May 26 through July 28, 2020.  Participation is open to all students who are enrolled full-time at Marshall University and neighboring institutions who will have not graduated by August 2020. Applications from women and members of minority groups are especially encouraged. A stipend of $4,000 will be provided to each intern for the 9-week period.  Interns are responsible for securing housing. 

Interns are required to prepare an abstract and present the results of their summer research project at the 2020 Summer Research Symposium at Marshall University on Tuesday, July 28, 2020. 

All materials are due by the end of the business day, February 21, 2020.  Applicants will be notified of their status by March 31, 2020.

PLEASE READ THE INSTRUCTIONS CAREFULLY AND FILL OUT THE APPLICATION FORM COMPLETELY

If you have questions about this internship program, please contact
Dr. Nalini Santanam, (304) 696-7321; santanam@marshall.edu
Dr. Elsa Mangiarua, (304) 696-6211; mangiaru@marshall.edu


Personal Information

First Name:       Middle Name:     Last Name:    

Date of Birth:         Gender:  

Citizenship:        Visa status if a non-US Citizen:


Present Address (e.g., School Address)

Street Address:

Apt./Box Number:

City:     State:    ZIP:

Current Phone:        Email Address:    


Permanent Address (e.g., Home Address)

* If different from "Present Address" and where you can be contacted after school year is completed.

Street Address:

Apt./Box Number:

City:    State:    ZIP:

Permanent Phone:    Email Address:


Education

Are you a HSTA graduate?     

* If you have attended more than one college/university, list the most recent one first.  Please submit a copy of transcripts from all institutions you have attended. The transcript from your current institution should contain courses and grades for the first semester of this year.  Please request transcripts as soon as possible as we must have them to evaluate your application.

College/University now attending:  

Street Address: 

Box Number:

City:        State:        ZIP:    

Program of Study:

Major Field:   Major Field:     Major GPA:         Overall GPA:    

Date you began:         Expected Date of Graduation:

 

Honors and Awards from the College/University now attending:

Date:    Description:

Date:    Description:

Date:    Description:

Date:    Description:

Date:    Description:

Date:    Description:  

 


Previous Education

Previous College/University:

Street Address:

Box Number:

City:    State:    ZIP:

Program of Study:

Major Field:    Major GPA:     Overall GPA:

Dates Attended:

 

Honors and Awards from previous Colleges/Universities:

Date:    Description:

Date:    Description:

Date:    Description:

Date:    Description:

Date:    Description:

Date:    Description:  

 


Briefly describe your scientific interests.  

Briefly describe your career goals.  

Briefly describe any prior research experience and how this prepares you to participate in this research program.  

Briefly explain why you wish to participate in this program.  

 


Requested Mentors:

* If you have not had an opportunity to review the AHA Summer Research Program at Marshall University Mentors Directory, please do so. List the names of four mentors in whose labs you would agree to work during the summer program and WHY EACH IS OF INTEREST TO YOU. List them in order (your first choice being #1). You will be matched with one of these four, and if that is not possible, you will be contacted for other choices.

1)    

2)    

3) 

4) 

 


Recommendations:

* Please indicate the names, titles and phone numbers of two professors who have agreed to write letters of recommendation on your behalf. Please have them send their letters to Dr. Elsa Mangiarua (address at bottom of form) before February 21, 2020. Letters can be sent electronically if desired; send them to mangiaru@marshall.edu.

Name:        Email Address:  
Title:      Phone:  

Name:       Email Address:    
Title:        Phone:    

 


Previous research experience:

* If you have had previous research experience, provide the name, title, affiliation and phone number of your supervisor / summer mentor, and please ask this person to write a letter of recommendation on your behalf.

Name:     Email Address:
Title:    Phone:    Affiliation:

 


Transcripts from all institutions of higher learning attended

Original transcripts should be sent to Dr. Elsa Mangiarua to the address at the bottom of this form. E-mailed or faxed copies will be accepted until the originals arrive.

 


Deadline for receipt of all applications for this academic year is the end of the business day, February 21, 2020.

Please supply a stamped envelope to your references with the following address that you should use if you submit your application by mail:

Dr. Elsa Mangiarua
Department of Biomedical Sciences
Joan C. Edwards School of Medicine, Marshall University
Robert C. Byrd Biotechnology Science Center
1700 Third Avenue
Huntington, WV 25755
(304)696-6211
mangiaru@marshall.edu

   Enter your initials in the following box.  By doing so, you submit that all information contained within this application is accurate and a true representation of the applicant.