Emerging Professionals Summer Internship Program for College Students

Developing the Next Generation for a Diverse Workforce

*Apply Now: Application Submission Instructions (instructions within form too):
- Step 1. Please complete the below application and click submit button
- Step 2. A required second step of the application process, please email your resume separately (as an attachment) to summerinternship@umassmed.edu

*Please note, the application process closes April 30th and we will no longer accept applications for the program after that date.

Student Application Form

Full Name:  

Permanent Address:                          Present Address:

         

Telephone No:    Telephone No:

Email Address:  Email Address:

In case of emergency, notify:

Name:  

Relationship:

Address:

Telephone No.:

Are you a U.S. Citizen?  

 

Do you have permanent residence in the U.S.?

Race/Ethnicity:

Hispanic or Latino (all races) - a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race:

 

NOT Hispanic or Latino - If you did not identify as Hispanic or Latino, then report in the appropriate race category below:

Click here for expanded descriptions of the above listed race/ethnicity categories.

EDUCATIONAL EXPERIENCE

Current or Most Recent School Name:

Major/Minor:   Current GPA:  

Date Attended:   Degree/No. Credits Earned 

Year in School:

Other Colleges/Universities Attended:   

Major/Minor:      Current GPA:    

Date Attended:     

Degree/No. of Credits Earned:

Other Relavent Information

Please select the internship program's elective field that you are submitting for application (please select only one). You may access the job descriptions by clicking on the website's "Internship Job Openings" left navigation menu tab.

What experiences in your life have prepared you for a summer internship experience at UMass Medical School?

 

Please explain how participating in the Emerging Professionals Summer Internship Program fits into your academic/career goals?

 

What interests you most about participating in the Emerging Professionals Summer Internship Program?

References: Please list up to three persons not related to you, who are familiar with your character and qualifications:

Full Name and Title             Phone Number     Email Address

        

                  

               

I understand that I am being considered for a competitive summer internship program sponsored by the University of Massachusetts Medical School. I certify that the foregoing statements are true, complete and correct to the best of my knowledge and belief. I understand that a false or incomplete answer may be grounds for not considering me or for my dismissal from the Program.

*Signature:        Date:

*Please type your name in the "Signature" box. 

As a required second step of the application process, please email your resume separately (as an attachment) to summerinternship@umassmed.edu

Questions
Program Questions: Please email or call Jesse Edwards at Jesse.edwards@umassmed.edu or 508-856-5555
Technical Application Questions: Please email or call Kaitlyn Furcinitti at Kaitlyn.Furcinitti@umassmed.edu or 508-856-2179

Click button below to submit your request. To clear all responses, please click reset button below.