HUADAR
Aging Research
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Application Form for Undergraduate Trainees
Complete applications received by March 1 will be given first consideration.
*
Indicates required field
Name
*
First
Last
Declared Major
*
Howard ID #
*
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Academic Data
(All applicants must maintain full-time status: minimum of 12 credits per semester)
Cumulative GPA/4.0
*
Select Current Status
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Freshman
Sophmore
Transfer Student from Community College: Provide name of community college
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Statement of Interest (250 words maximum)
*
The following is needed for reporting to NIH
Citizenship (proof should be available if requested)
*
US Citizen
Permanent Resident
Race
*
Asian
Black or African American
Native American or Alaska Native
Native Hawaiian or Other Pacific Islander
White
Other
Email the following documents to
[email protected]
All applicants: A copy of the unofficial college transcript(s)
Disclaimer
I certify that my answers are true and complete to the best of my knowledge.
My application submission gives permission for Howard University HUADAR committee to review any academic records.
Submit