INBRE Continuing Student Application Summer 2015

Hawaii INBRE III – HiSREP
Summer 2015 Undergraduate Student Research Experiences (SRE)
Application (Continuing)
Application Deadlines:
Summer- May 20, 2015
Fall- September 8, 2015
Spring- January 18, 2016
Students will perform a semester-long research internship, working in his or her
research mentor’s laboratory.
Upon completion of INBRE research experience, students will be required to write a
short scientific research paper by the end of Spring semester, May 2016, in addition
to presenting a research poster at the JABSOM Biomedical Symposium next Spring.
**Note that all INBRE participants will be contacted for periodic follow-up of academic and
career plans and goals. Long-term tracking (5 or more years out) of all INBRE participants
after their involvement in the program is required by the INBRE program. Therefore, all
student interns will be requested to provide permanent contact/information as well as
expected to participate in all surveys/questionnaires from INBRE.
Eligible students:

Undergraduates with a 2.75 cumulative GPA who have completed at least their
freshman year of a four-year degree in the biomedical or bio-behavioral sciences;
OR
 Community college students with a 2.75 cumulative GPA who have completed at least
one year of their program of study.
Note: These eligibility requirements may only be waived upon assessment by the Campus Coordinator,
who is to provide a written justification for the waiver, and approval by the Executive Committee.
Revised 4/10/15 JO
Hawaii INBRE III – HiSREP
Summer 2015 Undergraduate Student Research Experiences (SRE)
Application (Continuing)
Date
Name: last, first, middle
Current Address: (street, apartment number, city, state, zip code)
Permanent Address: (street, apartment number, city, state, zip code)
Parent’s Address or alternate permanent contact address (if different from above):
Hometown and State:
Date of Birth:
Email:
Phone Number:
Alternate Non-UH Email:
Permanent Contact Phone Number:
Educational institution currently attending:
Major and number of semesters completed:
If you are at a community college, are you pursuing an associate degree in Natural Sciences?
 Yes  No
If no, what degree are you pursuing?
Current cumulative GPA:
Did you participate in a previous INBRE Undergraduate Research Internship?
 Yes (please list year and term of most recent internship: ____________________________)
 No
Revised 4/10/15 JO
Hawaii INBRE III – HiSREP
Summer 2015 Undergraduate Student Research Experiences (SRE)
Application (Continuing)
What are your career interests? (Where do you see yourself working in 5-10 years?)
Campus Coordinator:
Lab Supervisor:
Lab Supervisor’s email:
Location:
Brief Progress Report (250 words max regarding your accomplishments this last semester, such as poster
presentations or publications, and future lab plans):
Signature of Campus Coordinator
Date Signed
X______________________________________________
I hereby agree to
the terms and
conditions of this
application.
Signature of Applicant
X____________________________________________
Submit the following documents:


Signed Application Form
Brief progress update (250 words or less)
Revised 4/10/15 JO
Date Signed
Hawaii INBRE III – HiSREP
Summer 2015 Undergraduate Student Research Experiences (SRE)
Application (Continuing)
Please give your hard copy application to the appropriate Campus Coordinator.
Institution
Campus Coordinator
Kapiolani Community College
Dr. John Berestecky: johnb@hawaii.edu
Dr. Matthew Tuthill: mtuthill@hawaii.edu
Windward Community College
Dr. Leticia Colmenares: leticia@hawaii.edu
Hawaii Community College
Dr. Susan Jarvi: jarvi@hawaii.edu
Lisa Kaluna: lisaadam@hawaii.edu
Leeward Community College
Dr. Kabi Neupane: kabi@hawaii.edu
University of Hawaii Maui College
Dr. Sally Irwin: sirwin@hawaii.edu
Dr. Sean Calder: scalder@hawaii.edu
Hawaii Pacific University
Dr. David Horgen: dhorgen@hpu.edu
Kauai Community College
Dr. Sharad Marahatta: sharadch@hawaii.edu
University of Hawaii Hilo
Dr. Susan Jarvi: jarvi@hawaii.edu
Chaminade University
Dr. Helen Turner: hturner@chaminade.edu
University of Hawaii Manoa
Dr. David Haymer: dhaymer@hawaii.edu
Revised 4/10/15 JO