Faculty Advisor Approval Form

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Faculty Advisor Approval Form

Instructions

Faculty Advisor: Please complete this short survey by March 10, 2023, to certify that your student advisee is in good academic standing and is eligible to apply for the UCLA MTPCCR Summer Institute.

Program Overview

The Minority Training Program in Cancer Control Research (MTPCCR) is designed to increase ethnic diversity in the cancer disparities field by encouraging minority master’s students and master’s-level health professionals in public health and social/behavioral health sciences to pursue a doctoral degree and a career in research. MTPCCR is comprised of three components: (1) a 4-day summer institute, (2) optional paid internships in cancer disparities research studies, and (3) doctoral application support awards.

The MTPCCR is a program of the University of California, Los Angeles (UCLA) Fielding School of Public Health, with support from the UCLA Jonsson Comprehensive Cancer Center and the UCLA Center for the Study of Racism, Social Justice & Health, under the leadership of Prof. Marjorie Kagawa Singer and Prof. Chandra Ford.

Program Eligibility

Program eligibility is based on the following criteria:

Minority* master’s student** or master’s-level health professional in public health or social/behavioral health sciences.*** NOTE: Current doctoral students or those already accepted into doctoral programs are ineligible to apply.
Good academic standing (minimum “B” average).
Strong verbal, written, interpersonal, and organizational skills.

* We define “minority” as those communities who experience an excess or unknown burden of cancer and who are underrepresented in the field of cancer disparities research.

** Students must have completed the 1st year of master’s program by the start of the Summer Institute in June 2023.

*** MTPCCR was designed for students training in Public Health and/or the social and behavioral health sciences. This does not include lab-based or STEM disciplines. If your advisee does not have a public health or behavioral health science background, please contact mtpccr@ph.ucla.edu to determine their eligibility for the program.

Important Links

Information: https://www.racialhealthequity.org/mtpccr
Application: https://forms.gle/56VtMwY52gS9VnW38
Letter of Recommendation: https://forms.gle/CWZN4ohwtf33QHbV8
Faculty Advisor Approval: https://forms.gle/c2x65YZ4j3WnaRiQ9

Timeline

Application Deadline: Friday, March 10, 2023, at 5:00pm (PST)
Applicant Notification: March 27, 2023
MTPCCR Summer Institute: June 22-25, 2023

Questions

Please contact mtpccr@ph.ucla.edu if you have questions about any part of this application.

Email *

First Name: *

Last Name: *

Degrees or Credentials: *

Academic Institution: *

Position/Title: *

Phone Number:

MTPCCR Applicant's Name: *

By clicking the checkbox below, I certify that I am a faculty advisor to the applicant, and that the applicant is a current student or a recent graduate of a master’s degree health program. I endorse the applicant as a qualified candidate for the Minority Training Program in Cancer Control Research. *

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Required

Optional: Please use this space to note any additional comments or questions you'd like to share with the MTPCCR admissions committee. Thank you!

Send me a copy of my responses.

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