Radiology and Imaging Sciences Scholars Program (RaISS) Application - 2024
Please complete all parts of the form so that your application can be thoroughly reviewed. In addition to completing this form, you will need to send a copy of your transcript (unofficial copies of your transcript are okay) by email to plorlando@ucdavis.edu. Your complete application (which includes this form and your transcript) must be submitted no later than 1159PM PST on April 30, 2024.
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Please enter your full name (first and last). Also please include your preferred name if it is not your legal first name. *
Please provide a contact email address: *
Please provide a contact phone number: *
What is your date of birth? *
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What is the zip code of your current residence?
What is your current academic institution? *
Choose one best answer: I identify as...
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I identify as... (MARK ALL THAT APPLY)
If you are currently in a 4-year undergraduate degree program, what is your current year in school/number of post-high school years of education? *
If you are currently in a 2- or 3-year non-degree granting or certificate (for example, AA)-granting program, what is your current year in school/number of post-high school years of schooling? *
My GPA in my current college program is... *
Since completing high school/GED requirements, I have completed the following additional coursework in my college studies (MARK ALL THAT APPLY): *
Required
Are you most interested in clinical experience/exposure or research experience/exposure? *
Are you most interested in being paired with a physician, scientist, technologist, nurse or advanced practice provider, or someone else (MARK ALL THAT APPLY)? Feel free to explore the provided links to find out a little bit more about what careers in our field can look like before you make your decision, but also know that part of this program is exploring the varied aspects and jobs in radiology and the imaging sciences. *
Required
In 400 words or less, tell us about your long-term (10+ years) career and/or educational goals. For example, do you aspire to be a researcher, medical doctor, nurse, physician assistant, journalist, etc. and WHY? *
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