PIBS, PREP, & MSTP Summer Research Open House
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email Address *
To which term are you planning on applying ? *
Name of Undergraduate Institution *
Expected date of graduation *
MM/YYYY
U-M Summer Research Program (optional)
If you had elected to participate in a Summer Research program at UM this summer, please indicate that program below, regardless of whether or not that program was cancelled in response to the pandemic.
Gender (Optional)
Clear selection
Ethnicity (Optional. Choose all that apply)
Future Program(s) of Interest *
On the day of the event, each of the 14 PIBS programs, as well as PREP and MSTP, will have separate rooms for you to visit. To help us better understand and prepare for numbers on the day of the event, please indicate your top (two) programs of interest. These choices are non-binding and you are free to choose any program on the day of the event.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Michigan. Report Abuse