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2023 CIRM Bridges3.0 CSUN Stem Cell Research and Therapy Training Program Application
UCLA internship time is September 1 through August 31. Program training begins July 1.
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Email
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Your email
Name, First and Last
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Your answer
Permanent Address
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Your answer
CSUN ID Number
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Your answer
Major
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Your answer
Date of BIrth
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MM
/
DD
/
YYYY
Eligibility
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Choose
US Citizen
Permanent Resident
International
DACA/Dreamer
Gender
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female
male
other gender
gender not reported/unknown
Race
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American Indian/Alaska Native
Asian
Native Hawaiian/Other Pacific Islander
Black/African American
White
More than one race
Other race
Unreported/unknown
Ethnicity
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Hispanic/Latinx
Not Hispanic/Not Latinx
Ethnic Category Unknown/Not Reported
First Generation College Student
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yes
no
Degree in Progress
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BS
BA
Major In Progress
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BIOLOGY
CELL AND MOLECULAR BIOLOGY
MICROBIOLOGY
BIOTECHNOLOGY (MEDICAL TECHNOLOGY)
BIOCHEMISTRY
Other:
OVERALL GPA
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Your answer
MAJOR GPA
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Your answer
SEMESTER AND YEAR OF EXPECTED GRADUATION
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Your answer
CAREER GOALS
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Choose
GRADUATE SCHOOL, MS OR PhD
Medical/Dental
Pharmacy
Biotech/Industry/Pharmaceutical
Academic Research Tech/Lab Manager
Other
Previous Job Experience: please list job positions and employers
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Your answer
Community Service Activities: please list all community service by event and organization
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Your answer
Extracurricular activities: during college time only
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Your answer
Personal Statement: briefly describe your background, why you wish to participate in the program, and how it will benefit your educational AND career goals (<500 words).
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Your answer
Research Experience: please describe any previous research experience or course lab techniques learned
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Your answer
Academic Plan: list courses and number of units expected Spring 2023 You MUST enroll in BIOL 247L for 3 lab units (course sub into Mol Gen Sections)
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Your answer
Academic Plan if Accepted to The Program for: list courses and number of units expected Summer 2023 (6u paid for by grant) You MUST enroll in 347L for 3 lab units SS3. You may enroll in any other 3u course that will help you reach graduation
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Your answer
Academic Plan if Accepted to The Program for 2023-2024: Fall 2023 enrollment only in BIOLs 476 3u and 495C 3u paid for by grant
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YES
Required
Academic Plan if Accepted to The Program for 2023-2024: Spring 2024 enrollment in HSCI 390/L biostats 3u, BIOLs 498 2u, and 490 1u paid for by grant (6u)
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YES
Possible enrollment in online GE course or campus course if approved by UCLA faculty mentor
Required
Academic Plan if Accepted to The Program: List all remaining courses you need to graduate here!
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Your answer
Names of two References with contact information
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Your answer
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