Fillable Summer School Application2015 (Southern College)

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Summer School Application2015 (Southern College)

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Application for 201ϱ Regenerative Medicine Summer School
McGowan Institute for Regenerative Medicine
JuŶĞ1-ϱ, 201ϱ
I. Personal Information
First Name:
Middle Name:
Last Name:
Gender: Female Male
Date of Birth (mm/dd/yy):
Email:
Home Phone:
Cell Phone:
II. University:
Address:
City:
State: Zip:
II Academic Information
Current Grade: Junior Sophomore
Credits Earned: GPA:
Undergraduate Major: Undergraduate Minor (if applicable):
III. Reference:
Please provide contact information for your academic advisor
Full Name:
E-mail:
Title:
VI. To complete your application, on a separate paper— please respond to ONE of the following
questions. Each essay should be 300-400 words and should be saved as a file named: Essay
Question_[your last name].
• Describe your vision of regenerative medicine in the next 10 years
• Why are you interested in science and/or engineering?
VIII. Applicant's Statement and Signature
Should I be admitted to Regenerative Medicine Summer School at the McGowan Institute-
University of Pittsburgh, I agree that I will honor the University's academic and ethical standards
and that I will abide by all requirements established by Summer School Programs concerning
performance and conduct. I agree that Summer School Programs may dismiss any student
whose performance is unacceptable or whose general conduct jeopardizes the community or is
otherwise unacceptable.
I certify that all of the information contained in this application is factually correct, is honestly
presented, and contains no significant omissions. If, at a later date, it becomes clear that this is
not true, I agree Summer School may revoke any offer of admission it makes to me or dismiss
me from the program.
Your name:
Your Signature: ________________________________________________________
Application Procedure:
• Application Deadlines
Applications for the 2015 Regenerative Medicine Summer School will be accepted starting
Ja
nu
ary 1, 2015. The deadline for submitting the application and all required documentation is
Marc
h
15, 2015. Applicants will be notified by April 1st (via email) if they are selected as
a final candidate. At that time, additional information and forms will be required to complete
the application process. Final admission decisions will be made by April 15, 2015 an
d accepted
studen
ts will be notified by letter.
• How to Apply
Please complete this application (or use the interactive form at www.mcgowan.pitt.edu/events)
And also submit with the following:
• Official (sealed) copy of your transcript showing the last completed semester;
• A letter of recommendation from a teacher or advisor;
• Application essay (see questions on the application form);
• Current resume.
Mailing Address:
McGowan Institute for Regenerative Medicine
Attention: Summer School Admissions Office
450 Technology Drive, Suite 300
Pittsburgh, PA 15219
Inquiries to Allyson LaCovey (lacoveya2@upmc.edu); Phone: 412-624-5308
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Summer School Application2015 (Southern College)

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Completed 26 July 2020

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