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This field is for validation purposes and should be left unchanged.

Basic Information

Name(Required)
Date of Birth(Required)
Examples: she/her, they/them, he/him, etc.
Format: (XXX) XXX-XXXX
If different than your given name.
Current Address(Required)
Permanent Address (if applicable)
How did you hear about this internship?(Required)

Education

What type of educational institution is it?(Required)

When does your school year end for summer?
Answer if you are in school.
When does school start for the new school year?
Answer if you are in school.
Graduation Date(Required)
Please enter your anticipated graduation date if you have not yet graduated.
Are you available for the entire duration of the summer program?(Required)
The program runs from June 8th – August 14.
What is your academic standing?(Required)

Accepted file types: pdf, Max. file size: 10 MB.
Please upload in .pdf format
Accepted file types: pdf, Max. file size: 10 MB.
Please upload in .pdf format.
Drop files here or
Accepted file types: pdf, Max. file size: 10 MB.
    Please upload in .pdf format

    Primary Reference: Professional Reference

    Your primary reference must be a professional reference who can provide insights into your work ethic and skills (Ex: Direct supervisor, Professor, Academic advisor). This reference will be required to complete a recommendation form, which is a required step to be considered for the program.

    Please provide their information below and ask them to fill out this recommendation form.

    The person giving the recommendations must email it to [email protected]. We will not accept recommendation forms submitted by applicants. All recommendations will be verified by SHARP staff.

    Name of Primary Reference(Required)
    Please provide their professional email (e.g. an email ending in .edu)
    Please specify whether they are your professor, supervisor (from which job), advisor (from which program), etc.

    Secondary Reference: Professional or Personal Reference

    Your secondary reference can be either a professional or personal reference (Ex: Mentor, Community leader, volunteer supervisor). This reference should be able to speak to your character, personal qualities, and any relevant attributes that would contribute to your suitability for the position/program.

    Note: SHARP staff may contact your references via phone for additional questions.

    Name of Secondary Reference(Required)
    Please provide their professional email (e.g. an email ending in .edu)
    Please specify whether they are your professor, supervisor (from which job), advisor (from which program), etc.

    Personal Statement #1 (Maximum of 800 words)

    Please provide a statement that describes the following:

    1. Your academic and career goals;
    2. What has inspired you to pursue these goals (e.g., personal/life experiences, community involvement, volunteer experience, previous experience conducting research, etc.);
    3. How this program will help you reach your goals; and
    4. Any unique, personally important, and/or challenging factors in your background that have influenced your goals or your academic achievements.
    Accepted file types: pdf, Max. file size: 10 MB.
    Please upload in .pdf format

    Personal Statement #2 (Maximum of 400 words)

    Choose your top 3 content areas that you are most interested in learning about while in SHARP.

    Pick at least one content area that you select and discuss why it interests you.

    Content Areas of Interest (choose 3)(Required)
    Several ideas are listed, but you should also feel free to add your own by selecting “Other”.
    Other Areas of Interest(Required)
    Accepted file types: pdf, Max. file size: 10 MB.
    Please upload in .pdf format

    Demographics

    Thank you for your interest in SHARP. As a program supported by the National Institutes of Health (NIH) to enhance the diversity of the biomedical, behavioral and clinical research workforce, we are committed to understanding more about the demographics of our applicants. It will not be used during the selection process, but rather will allow us to report to NIH about the diversity in our applicant pool, and will help us in an ongoing way to improve our recruitment efforts.

    What is your current educational status?(Required)

    Did you declare a major or concentration yet?(Required)
    Please include double majors, concentrations, etc.
    Please choose the one statement below that comes closest to your current academic goal:(Required)
    This question is about your goals beyond your undergraduate degree. It is difficult to list all the goals people may have. The purpose of this question is to learn how many students plan to go on in science, medicine, or other fields, as well as to learn how many students do not plan to go to post-graduate education in their near future.
    To what extent would you say your career path is clear?(Required)
    How would you rate your self-confidence to pursue academic work in the future (e.g. developing a research study to answer a scientific question, writing journal articles, etc.)?(Required)
    Which of the following racial categories best describes you?(Required)

    What is your gender?(Required)

    How do you describe your sexual orientation or sexual identity?(Required)

    Do you come from a family with an annual income below established low-income thresholds?(Required)
    Review low-income thresholds at https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines
    Do you come from a social, cultural, or educational environment, such as one found in certain rural or inner-city environments that directly inhibited you from obtaining the knowledge, skills, and abilities necessary to develop and participate in a research career?(Required)
    Do you consider yourself to have any physical or mental disabilities?(Required)
    A disability is defined as a physical or mental impairment that substantially limits one or more major life activities.
    Please list any additional languages you speak and your proficiency level in each.
    Lanaguage
    Proficiency Level
     
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    The Center for Learning & Innovation is a branch of the Population Health Division in the San Francisco Department of Public Health that works to promote a diverse and talented workforce and advance health equity. Our vision is to foster a culture of learning, trust, and innovation. CLI offers technical assistance to branches within the Population Health Division and supports other health departments and community-based organizations in their workforce development efforts.

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    Summer HIV/AIDS Research Program (SHARP), the SHARP program of the San Francisco Department of Public Health, is funded by The US National Institutes of Health (NIH) . This web site is supported by Project Number 5R25DA043441.  The views expressed herein do not necessarily reflect the official policies of the Department of Health and Human Services, or the City and County of San Francisco, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government, or these groups.

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