Apply to the SHURP Program - 2014 Application Form

Please fill out the following form and then press submit. All additional materials must be mailed to the SHURP office.


This program is funded in part by grants from NIH and NSF. Therefore, we are unable to accept international students.



Contact Information

Last Name: First Name:


Middle Name:

Mailing Address


City: State:



Address valid until (MM/YY):

Cell Phone:

Current Phone Number (if different from cell):

Email Address:

Confirm Email Address:

Permanent (Home) Mailing Address


City: State: Zip:

Phone number:



Undergraduate Institution





Current Year in School:

Expected Grad Date (MM/YY):



Biographical Information

Gender: Male  Female 

Birthdate (MM/DD/YYYY):


Are you a U.S. citizen? Yes  No 

If no, do you have permanent resident status? Yes  No 

I-551 card number:

Other citizenship (indicate country):

Are you a first-generation college student? Yes  No 

Are you currently part of a research program (e.g. MARC, MBRS-RISE, McNair, etc.) at your
institution? Yes  No 

If yes, please indicate the name of the program: 


Will you be part of a research program (e.g. MARC, MBRS-RISE, McNair, etc.) at your
institution in the future? Yes  No 

If yes, please indicate the name of the program: 


Possible start date: 


We would like to know which graduate degrees you are interested in pursuing. Please rank the following degrees 1-4 in order of your interest, 1 being most interested. If you are not interested in a particular degree please select "not interested." If there is another degree you are interested please let us know, and rank it as well.


PhD Rank: 

MD/PhD Rank: 

MD Rank: 


Other:   Rank: 

Are you (please check)

African-American     Mexican-American     Puerto Rican    Asian    Caucasian 

Other Hispanic  (specify country)

Native Pacific Islander  (specify island)

Native American  (specify tribal affiliation)

Other  (specify)



Letters of Recommendation

Letter 1 will be sent by (name):

Letter 2 will be sent by (name):



How did you hear about the program? (Please check all that apply)

 Leadership Alliance



 Graduate School Fair

 Biomedical Sciences Career Program

 NSF Website

 Home University (or another school) site. Name of school: 

 Other online directory: 

 Previous SHURP Participant. Name: 

 Faculty member at your institution




Personal Statement - please copy your personal statement below.



CV - please copy your CV below.


Application Information

Application for Summer 2014


If you have any questions, or issues with the application please email:


How to Apply

Applicants are strongly encouraged to apply both through the Leadership Alliance and directly to SHURP.


  • Apply through the Leadership Alliance. For more information about the Leadership Alliance, including the application process click here.
  • Apply directly to SHURP. Fill out the SHURP Application Form and uplaod your statement of purpose and CV online. Once you have completed these steps, send the following materials to the address listed:
    • An official copy of your latest college transcript, showing Fall 2013 grades.
    • Two letters of recommendation, one from a science faculty member who can address your intellectual and personal suitability for the Program and one from a research supervisor, another science faculty member or, if applicable, from a science program director.  If you have previously participated in a summer program, or other off-campus research, a letter from your supervisor would be very helpful. Letters can be addressed to SHURP Director.  All letters of recommendation should be in the original sealed, signed envelope.
  • Please send all application materials, postmarked by Monday, February 10, 2014, to:
    Ms. KeyAnna Schmiedl, Division of Medical Sciences
    TMEC Room 432, 260 Longwood Avenue
    Boston, MA 02115

  • We strongly encourage applicants to collect the required materials and send them all together in one mailing. You are responsible for making sure that your application is complete and that all your materials arrive on time.  We cannot consider incomplete applications or applications that are postmarked later than February 10, 2014. 

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