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

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
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)

The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, retaliation, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies and is the University’s Title IX Coordinator: the Executive Director of the Office of Institutional Opportunity and Access,, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.