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2020 Tolero Summer Fellowship Application
*PLEASE DO NOT BEGIN THIS APPLICATION UNTIL YOU HAVE ALL OF THE MATERIAL REQUIRED--YOU CANNOT SAVE AND COME BACK TO THIS FORM.  There is only one application allowed per person.  Applications are due by Friday, February 7th, 2020 at 5:00 p.m. Submissions will not be accepted after that date and time.
Email *
Name: *
Address: *
Phone Number : *
BYU Student ID Number: *
Major: *
If Undergraduate, Year in School:
Clear selection
If Undergraduate, GPA:
If Graduate, Masters or Doctoral:
Clear selection
Area of Interest (select all that apply) *
Required
Relevant Courses Taken and Grades Received (Courses you feel may prepare you to complete the proposed internship): *
Previous Research Experience: *
Essay:
One page on why you want to research at Tolero. What makes you unique? How will this program help you? Why are you interested in cancer research?

Essay: *
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Required
Letter of Recommendation:
Please attach one letter of recommendation.
Letter of Recommendation: *
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Required
Anticipated Absences:
Describe all anticipated absences from campus during the 15-week period of the Fellowship. Anticipated absences may include such things as marriage and honeymoon, family vacations or reunions, planned surgery and recovery, relocation of residence, etc.
Anticipated Absences: *
Other Funding:
List all scholarships, research assistantships, and fellowships (e.g. ORCA grants, department or college awards, etc.) that you will have during the four-month period of the SCCR Fellowship.
Other Funding: *
Letter of Appreciation:
Each Fellowship is funded by individual donors who are anxious to support cancer research at BYU and believe in the SCCR’s mission, “to provide experience to students that begins the training of the next generation of cancer clinicians and researchers.” Hence, the application should include a letter of appreciation/gratitude to the donors who make the Fellowship Program possible. In this letter you should:

• Briefly explain explain what you hope to gain from participating in the program

• Indicate your educational or professional plans following completion of the Fellowship.

• Describe how successful completion of the proposed research will help to achieve those educational or professional goals.
Letter of Appreciation:
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Expectation of Fellows:
1)  The SCCR Summer Fellowship is intended to be a full-time job, working a minimum of 40 hours per week. In addition to describing anticipated absences, applicants must list all other planned activities (e.g. classes, additional employment, physician shadowing, etc.) which may require time away from their research, and indicate how they will compensate to comply with the time commitment required for the Fellowship.

2) Fellows are required to provide a weekly update. The SCCR Program Coordinator will provide students with a spreadsheet.

3) Fellows are required to give a  10 minute presentation during the last week of the fellowship. The SCCR Program Coordinator will reach out to coordinate times.

4) Each fall the SCCR hosts a Donor Appreciation dinner. If invited, you will need to attend and be prepared to present a poster of your research. The SCCR will print your poster for you and cover the expense.

5) Each spring the SCCR and Cougs Vs Cancer Club host the Cougs Vs Cancer Rex Lee Run. All proceeds from the run help fund the SCCR fellowship program. Please be prepared to volunteer at that event.
Applicant Statement:
To accomplish the principal goal of SCCR Fellowships it is essential that proposals submitted by student applicants be written entirely by the applicants themselves. The application should end with the following statement signed and dated by the applicant:

“I certify that this application is entirely of my own creation and writing. Any assistance from others in its composition has been limited to minor editorial correction.”
Signature of Applicant: *
Date: *
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A copy of your responses will be emailed to the address you provided.
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