IMSD Pre-Research Application

This application is for the IMSD Pre-Research Group and is not to be confused with the pre-application. Fields marked with an asterisk (*) are required.

Pre-Research Group Application

KU Student Number: 7 digits
Name:

First*
 
Middle
 
Last*
Phone:*
KU Email:
Non-KU Email:*
Are you a citizen of the United States?*   Yes   No
Anticipated major(s); area(s) of concentration:*
What are your career goals?*
Are you first-generation college student?*   Yes   No
If you are a transfer student, please list the institution(s) attended previously:
What are you interested in:
Please check all 
that apply.
Graduate School
Medical School
Other
Research in a biomedically related field
Being considered for the Multicultural Scholars Program

Race or Ethnicity:*
Please check all 
that apply.
American Indian or native Alaskan - Tribe(s):
Black (non-Hispanic)
Asian American
Pacific Islander
Latino(a) or Chicano(a) or Hispanic
White (non-Hispanic)
Other






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