Form 1 SIP Summer Internship Program

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SUMMER INTERNSHIP PROGRAM
OMB No. 0925-0299
Expiration Date 08/31/2016
Respondent Burden

PROGRAM APPLICATION
Instructions: You must use this application to apply to the general Summer Internship Program (SIP) and/or one of the subprograms.
Before you begin, you may want to review some helpful hints on using this electronic form and our privacy statement.
Eligibility Criteria:

1. Candidates must be sixteen years of age by June 15, 2016.
2. Candidates must be U.S. citizens or permanent residents.
3. U.S. citizens are eligible to apply if they are enrolled at least half-time in high school or in an accredited college or university as an
undergraduate, graduate, or professional student. Students who have been accepted into an accredited college or university
program may also apply.

4. Permanent residents must be enrolled in or have been accepted into an accredited institution in the U.S. to be eligible.
5. Be aware that special eligibility criteria and deadlines may apply to applicants who choose one of the summer subprograms listed in
Section 9 at the bottom of this form.
Application Tips:
This form allows you to save a partially completed application. To take advantage of this feature:
Enter as much information into the form as you would like. Note that you must complete certain fields--Name, E-mail Address,
Month/Day of Birth, and, Phone--in order to save a partial application.
Press "Save Partial Application & Quit" to save the information you have entered thus far. You will have to return later to complete
your application.
When you first submit your partial application, you will receive an e-mail message containing instructions for accessing the online
tool that allows you to review, modify, and complete your application.
Only completed applications are available for review by NIH investigators and administrators; partial applications are not accessible by
NIH investigators. Once you complete your application, press "Preview Completed Application." You will be taken to a page displaying
the information you have provided. To submit your completed application, you must select the "Save" button on the Preview page.
IMPORTANT NOTE: The deadline for receipt of completed applications is March 1, 2016 (11:59 PM, Eastern Time). Applications that are
incomplete after the March 1 deadline will not receive further consideration. If you apply to one or more SIP subprograms, special
deadlines might apply. Please check the SIP Web page, https://www.training.nih.gov/programs/sip, or follow the links in Section 9 for
information about the various subprograms.

1. Please read the "Summer Internship Program page" and "SIP Frequently Asked Questions" before beginning your online application.
2. Be sure that the e-mail addresses you provide for your references are accurate. Incorrect e-mail addresses will delay the receipt of
your reference letters and could result in your application's not receiving full consideration.

3. Please note that, for security reasons, this form accepts plain text inputs only. This means that special characters and formatting
such as bullets, "smart quotes," bold or italic fonts, Greek letters, etc., will be lost or altered. To ensure your data appear as you
intend, compose your inputs to the longer fields on this form using a plain text editor (e.g., Notepad, for PC users, or TextEdit, for
Mac users). In place of special formatting, you will need to rely on the use of capital letters, white space, asterisks, and other
standard keyboard characters. Also, preview your application carefully to ensure it looks the way you want it to.

4. Proofread your application thoroughly for accuracy and completeness; false or inaccurate information may be grounds for denying
your candidacy or removing you from the program.

5. Complete your application as early as possible and ensure that your references submit their letters promptly using our online
system.

6. Letters of recommendation are due no later than March 15, 2016, at 11:59 PM, ET. We will not accept letters after that time.
7. IMPORTANT: SIP includes several subprograms designed to help build a diverse and inclusive scientific workforce. PLEASE NOTE:
These subprograms may have deadlines that are earlier than the general SIP program. If you apply to one of these programs,
you must submit your application before the subprogram deadline AND contact your references to let them know the deadline for
receipt of their letters.

8. If you have questions after reading the SIP FAQs, please address questions to [email protected].
Indicates a required field.

Indicates a help button.

1. Personal Information
You must enter this information if you wish to save your application.
Name:

Mr.
Prefix

First

MI

Last

Permanent Home Phone:
E-mail Address:

Format: [email protected]

Enrollment: Are you currently enrolled in, or have you been accepted into, an accredited institution?
Yes

No

Is the institution in the U.S.?
Yes
Citizenship Status:

No

N/A

US Citizen

Personal Information - Continued
Permanent Address:
Address Line 2:
City:
State:
(Use DC for District of Columbia and NA if your permanent address is not in the U.S.)
Zip Code:
Country/Region:

United States

Previous Experience at NIH:

None

Relative at NIH:

Yes

(Research programs completed)
No

Help: Definition of "relative"

If yes, enter the Name and Institute/Center of each Relative (please list all):

NIH summer training occurs on several sites including the main campus in Bethesda, MD. To help our investigators, please
indicate ALL locations where you would be willing to train this summer.
Bethesda, MD and the surrounding area
Frederick, MD (some NCI labs)
Baltimore, MD (most NIA labs and all NIDA labs)
Research Triangle Park (Raleigh/Durham), NC (NIEHS only)
Hamilton, MT (limited positions in NIAID)
Phoenix, AZ (limited positions in NIDDK)
Detroit, MI (limited positions in NICHD)
Framingham, MA (limited positions in NHLBI)

2. Academic Information
School:
School State:

Please enter the state in which your school is located.
(Use DC for District of Columbia and NA if your school address is not in the U.S.)

Preferred Mailing Address:
Address Line 2:
City:
State:
(Use DC for District of Columbia and NA if your preferred address is not in the U.S.)
Zip Code:
Country/Region:

United States

Preferred Phone Number:

Current Education Level:
Year at Current Level:
Current GPA:
School Grading Scale:

(Cumulative unweighted average)

Note: If you select 'Other', please explain in Section 3, Coursework and Grades. Be sure to
describe your school's grading scale and your current cumulative average relative to that
scale.
Academic Major:

or specify major
(Use NA if you are a high school student.)

3. Coursework and Grades
Include courses in which you are currently enrolled.

4. CV/Resume
Copy and paste a plain text version of your curriculum vitae or resume into this space. Some reformatting may be
necessary. Include education, relevant research experience, scientific publications, honors and awards, etc.

5. References
Once you submit your completed application, an e-mail request for a letter of recommendation will automatically be sent
to each of the following individuals:
Reference 1:
Name:

Mr.
Prefix

First

MI

Last

Address:
Phone:
E-mail:

Format: [email protected]

Reference 2:
Name:

Mr.
Prefix

First

MI

Last

Address:
Phone:
E-mail:

Format: [email protected]

6. Cover Letter
Describe your research interests, career goals, and reasons for applying for training at the NIH; be certain that your cover
letter is specific for this particular program.
The NIH is committed to maintaining its stature as a premiere research institution by building an inclusive workforce,
fostering an environment that respects the individual, and offering an opportunity for each person to develop his or her full
potential in the pursuit and support of science. We welcome trainees of all genders, races, ethnicities, physical abilities,
and socioeconomic backgrounds. If you have unique circumstances, or come from a disadvantaged background, please
include this information in your cover letter.

7. Research Interest Keywords:
Please provide a brief list of your research interests (limit 150 characters, including spaces). NIH investigators may search
on this field to find applicants whose research interests match their own. You may wish to enter terms that describe
particular diseases or conditions (e.g., Alzheimer's disease, macular degeneration, obesity); the techniques you are
interested in applying (e.g., two-photon microscopy, patch clamping, rapid sequencing, bioinformatics); or general subject
areas (such as epidemiology, public health, molecular neuroscience).

8. Preferred Institute/Center (IC)
If you already know the IC in which you wish to work (for example, if you are a returning student), please select the
appropriate item from the drop-down list. Note: If you want your application to be considered by investigators in
more than one IC, please leave this section blank.

9. SIP Subprogram Selection
This section is for applicants who are eligible for and interested in special summer subprograms at the NIH. Below is a list of the

currently available subprograms. If you are interested in applying to one of these subprograms, please read the program description,
including eligibility criteria, program dates, and application deadlines, by selecting the appropriate link below. (All links open in a new
window.) If you select a subprogram for which you are not eligible, it could have a negative effect on your chances of being selected
for an internship.
Note that programs are exclusive, semi-exclusive or open. It is important that you understand the implications of a program's type for
how and when program participants are selected.

Available Program(s):

Selected Subprogram(s):

Add

AMGEN (exclusive) Details and Eligibility

Add

BESIP (exclusive) Details and Eligibility

Add

CCSEP (exclusive) Details and Eligibility

Add

GSOAR (exclusive) Details and Eligibility

Add

HiSTEP (exclusive) Details and Eligibility

Add

HiSTEP 2.0 (exclusive) Details and Eligibility

Add

SGI (exclusive) Details and Eligibility

How did you hear about this program? (Please select all that apply.)
Ad in a scientific journal (Nature, Science); please specify:
Ad in a student journal; please specify:
Ad in a meeting program
Exhibit at a meeting; please specify:
Career development/opportunities workshop
Flier
Poster
From a mentor or advisor
From an alumnus/alumna of the program
NIH representative visited school
Web search
Other; please specify:

Notice to all applicants:
It is your responsibility to ensure that all of the above information is correct. False or inaccurate information contained in this
application or provided during an interview may be grounds for denying your candidacy or removing you from the program.
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