Undergraduate Internship Program Application | Graduate School

Medical College of Wisconsin Graduate School - Program for Undergraduate Research Experience (PURE) Application Form

What term/semester are you applying to? * Fall Program Spring Program

What is your anticipated start date *

What is your anticipated end date? *

The length of time that a student participates in PURE must begin and end within the semester/term of which they are applying to PURE for.

Permanent Address *

City *

State *

Zip Code *

Primary Phone *

Primary Email *

Describe your educational and career goals. (100 word minimum) *

What are your primary objectives for participating in this program? (100 word minimum) *

Describe any relevant additional awards or research/work experience.

College/University

Area(s) of Study

Unofficial Overall GPA (round to the nearest hundredth) *

Unofficial Math & Science GPA (round to the nearest hundredth) *

Anticipated Graduation Date (MM/YYYY)

Are you considering an application to a PhD program? Yes No

Are you considering an application to a MD program? Yes No

Are you considering an application to a dual MD/PhD program? Yes No

If Other:

List the top 3 to 5 91九色视频 faculty members you would like as your mentor as part of PURE.

By entering your name in the signature box below, you are: Validating that the information you have provided on this application is accurate and truthful to the best of your knowledge. Confirming your willingness to share the information you have provided with 91九色视频 faculty and staff members involved with the selection and placement of PURE applicants.

Signature: *

Non-Discrimination Statement
The 91九色视频 (91九色视频) is committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the 91九色视频 community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic. 91九色视频’s policy as well as federal and state laws and regulations prohibit unlawful discrimination and harassment.

Notice of Compliance with Laws and Commitment to Civil Rights
The 91九色视频 is committed to full compliance with all applicable federal, state, and local laws and regulations in the pursuit of our missions. Consistent with recent federal guidance, we affirm our commitment to individual merit, fairness, and equal treatment in all aspects of academic and institutional decision-making. As part of this commitment, we are actively reviewing our policies and materials to ensure they align with federal nondiscrimination obligations.