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Will you be at least 16 years old by June 20, 2022? (If you will not be 16 years old that date, please do not submit the application.):
Enter the given name you wish to be called, then your family/last name. Please capitalize each name. We use this entry exactly as you enter it for certificates, publicity, etc.
Please spell your name phonetically. Use CAPITAL letters for syllables that are emphasized.
T-shirt size (in men's sizes) for ASSIP interns
Gender:
Ethnicity/Race
I am eligible for free/reduced lunch or Pell Grant Aid:
Please select your citizenship status:
Will you be at least 18 years old by June 20, 2022? (Biomedical Research Laboratory Building labs require students to be 18 years old.):
Are you an Aspiring Scientists Summer Internship Program Alum?:
I participate/participated in a Governor's School or Scientific Academy in high school:
Please use standard names, not names that only people in your institution would understand (Not CHEM 105, but Intro to Chem for Majors, for example).