Form 1 Student Application Form

Attachment 1 Student Application Form

2020 NIDA Summer Research Internship
Program
Applica on Form
Applica on Deadline: Monday, February 10,
2020
OMB Control Number: 0925-0738, Expiration Date: 03/31/2019.
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this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,
to NIH, Project clearance Branch, 6001 Executive Blvd., MSC 9567, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do
not return the completed form to this address.
Program:
The NIDA Summer Research Internship Program supports all students with a focus on increasing underrepresented populations in drug
abuse research. Through this program, undergraduate students age 18 years and older are introduced to the field of drug abuse and
addiction research by participating in research internships with NIDA’s distinguished scientists at universities across the United States.
Students work with leading scientists for eight weeks during the summer. The internship may include laboratory experiments, data
collection, data analysis, formal courses, participation in lab meetings, patient interviews, manuscript preparation, library research, and
literature reviews. In addition, it is expected that each intern will deliver a formal presentation on his/her research project at the end of
the internship
The NIDA Summer Research Internship Program is in its 24th year. Since the program’s inception in 1997, more than 1,160 students
have gained experience in drug abuse and addiction research.
Eligibility:
This program provides summer research internships for all undergraduate students 18 years and older, with a focus on recruiting
students underrepresented in the biomedical, behavioral, and clinical sciences (American Indian/Alaska Native, Black/African American,
Hispanic/Latino, Native Hawaiian/Pacific Islander) Graduating 2020 college seniors are eligible to apply.
Applicants must be at least 18 years old by May 31, 2020 and must be U.S. citizens or permanent residents of the United States (No
Exceptions).
Individuals who have already participated in the NIDA Summer Research Internship Program are no longer eligible to apply.
Scope of Support:
• Stipends in the amount of $12.00 per hour for a maximum stipend of $3,840 for eight weeks.
• Up to $2,500 for housing assistance.
• Up to $500 to be used for air or local travel.
Housing Accommodations:
There are two different housing options for the research sites included in the NIDA Summer Research Internship program. For both
options, the housing is funded by NIDA and will be reimbursed to the intern by the host research institution.For research sites
with the “Campus Housing Available” option, the intern will be able to stay in campus housing which is coordinated through the
research site staff, institution, and intern. For research sites with the “Housing Subsidized” option, housing will still be funded by NIDA,
however for these research sites, the intern will be responsible for securing their own housing accommodations. Some research sites
have local housing resource guides that they share with interns.
Application Procedures:
To apply for this program, fill in all sections of the application form. Prior to making your research site selections, review the research
projects and locations listed in the online brochure. After reviewing the descriptions, indicate on the application the three sites that best
match your research interests. All efforts will be made to match applicants to one of their top three choices.
Application components include:

• an application form
• current transcripts (unofficial transcripts are acceptable)
• two letters of recommendation on letterhead
***Your references will be contacted only after the application is submitted. You may modify, save, and submit your application
as often as needed up to the deadline and the application will be automatically updated each time.
All application materials must be submitted by Monday, February 10, 2020.
Application Review and Selection:
Interns are selected according to the following criteria:
• Professional/Career goals
• Research interests
• Academic Achievement
• Letters of recommendation
• Program Priorities
For additional information see the FAQs.
Contact:
For further information please feel free to contact Julie Huffman, [email protected] , phone 301-443-9798 or the ODHD Director,
Albert Avila, Ph.D., [email protected].

Personal Information
First Name
Enter First Name Here..

Email Address
Enter Email Address Here..

Current Address
Enter Current Address..

Permanent Address
Enter Permanent Address..

Race
--Select--

Last Name

Date of Birth (MM/DD/YYYY)

Enter Last Name Here..

Enter Date of Birth Here..

Primary Phone

Secondary Phone (optional)

Enter Primary Phone Here..

City
Enter City Here..

City
Enter City Here..

Hispanic or Latino
--Select--

Enter Secondary Phone Here..

State
--Select--

State
--Select--

Gender
--Select--

Zip
Enter Zip code Here..

Zip
Enter Zip code Here..

US Citizen or Permanent
Resident
--Select--

How did you learn about this program?
--Select--

Academic Information
Current School/University
Enter Current School/University Here..

Major
Enter Major Here..

Current Level
--Select--

Minor (optional)
Enter Minor Here..

GPA Major

Cumulative GPA

Enter GPA Major Here..

Enter Cumulative GPA Here..

Application Components
References
Provide the current contact information for the two references. An automatic email request for a recommendation letter will be
sent directly to them when the application is submitted. Reference Letters must be received on or before February 10, 2020, and
are a required part of the application package (No Exceptions). Please ensure your references are aware of the application
deadline. References should evaluate your academic success, career goals, achievements, and qualifications. Letters of
recommendation should be on letterhead whenever possible. Note: Once an application is submitted, information about your
references may not be changed.

Reference 1
First Name
Enter First Name Here..

Reference 2
Last Name
Enter Last Name Here..

Designation/Title
Enter Designation/Title Here..

Organization
Enter Organization Here..

Phone
Enter Phone Here..

E-mail Address
Enter E-mail Address Here..

First Name
Enter First Name Here..

Last Name
Enter Last Name Here..

Designation/Title
Enter Designation/Title Here..

Organization
Enter Organization Here..

Phone
Enter Phone Here..

E-mail Address
Enter E-mail Address Here..

Relationship

Relationship

--Select--

--Select--

Statement of Research Career Interest
Please submit a statement that describes your interests in drug abuse and addiction research, career goals, educational plans
beyond your undergraduate studies, and what you hope to gain from this internship.

Academic Achievement
Please describe your academic accomplishments, interests, and success.

Transcript
Please submit a copy of your current transcript(s). If selected to participate in this program, you may be required to submit official
transcripts.
Browse...

Site Selections
For research project descriptions, please refer to the online brochure:
Provide your top three (3) research site choices, by number, in order of preference.
***There are two different housing options for the research sites included in the NIDA Summer Research Internship program. For
both options, the housing is funded by NIDA and will be reimbursed to the intern by the host research institution. For research
sites with the “Campus Housing Available” option, the intern will be able to stay in campus housing which is coordinated through
the laboratory staff, institution, and intern. For research sites with the “Housing Subsidized” option, housing will still be funded by
NIDA, however for these research sites, the intern will be responsible for finding their own housing accommodations. Some
research sites have local housing resource guides that they share with interns.
Site 1
--Select--

Site 2
--Select--

Site 3
--Select--

Housing needed?
--Select--

Housing needed?
--Select--

Housing needed?
--Select--

Site Selection Justification
Indicate your interests and justification for selecting each research site. It is important to detail in the application how gaining research experience
in each of the three sites selected will enhance your professional career..

Schedule Conflicts
This internship requires a full-time (40 hours per week) commitment for eight weeks. Your schedule should be free of
commitments (e.g., vacations, summer classes, jobs, etc.) that conflict with your participation. Prolonged absences from the
internship are not permitted.
Earliest internship start date

Do you have any schedule conflicts with the time periods of your selected sites?
--Select--

Notice to Applicant
An application is only complete when it has been submitted and all materials, including letters of recommendation, have been
received. Please remember that references will not receive a system generated emailed requesting a letter of recommendation
until the applicant "submits" their application.
At any time prior to the application due date, you may access your application to enter updates/edits. To retrieve it, click on the
link sent to the email address entered in the application and enter the token code included in the email. Complete/update the
application and press SUBMIT. Your most recent electronic submission will be the one recorded in the application system and
used during the evaluation period.

Submit

Center for Information Technology • National Institutes of Health • Bethesda, Maryland 20892
Phone: 301-496-4357 • Web: ITServiceDesk.nih.gov