Jayhawk BioResearch Scholars Application

The Jayhawk BioResearch Scholars program is funded by National Institutes of Health (NIH) (Grant#T34GM062232) with the aim of increasing participation in research careers of individuals from groups that are underrepresented in the biomedical sciences. Eligibility for the program is based on criteria determined by NIH in the Notice of Interest in Diversity.

First Name

Last Name

Gender

- Select -Male Female Non-Binary

KU/Haskell Email

Non-KU/Haskell Email

Are you a citizen of the United State or a permanent resident of the United States

- Select -Yes No

If applicable, please list college level institution(s) attended previously.

A) Ethnicity

Latino(a)/Chicano(a)/Hispanic

Non-Latino(a)/Chicano(a)/Hispanic

B) Race (check all that apply)

Blacks or African Americans

Hispanics or Latinos

American Indians or Alaska Natives

Native Hawaiians and other Pacific Islanders

South or East Asians

Caucasian

None of the above

Other

If "Other." please specify

C) Disability, registered through The Academic Achievement and Access Center (AAAC) at The University of Kansas

- Select -Yes No

D) Are you an individual from disadvantaged backgrounds? Check all that apply:

Were or currently are homeless.

Were eligible for the Federal Free and Reduced Lunch Program for two or more years

Have/had no parents or legal guardians who completed a bachelor’s degree.

Were or currently are eligible for Federal Pell grants.

Current Class

- Select -Freshman Sophomore Junior Senior

Anticipated major(s); area(s) of concentration

Biology

Chemistry

Psychology

Mathematics

Bioengineering

Pharmaceutical Studies

Please describe your career goals in one sentence:

Are you interested in

Graduate School

Medical School

Both (graduate school and medical school)

Other (Industry, government, etc.)

Submit Form