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2CACLbrqe6dKpVbYGQmB79cDEb4WbLtebCcN83FJCcN8scHuNNbbtprU8jqa92jisdrWVqTsHZ88oIMR7iKv

Translational Research Innovations and Partnerships Program Application

Background:

In partnership with the College of Medicine Honors in Research program, The Translational Research Institute (TRI) is pleased to offer an exciting research experience to first and second year medical students. The TRI, through its Rural Research Network and programs, is looking for students interested in learning about and participating in community-based research focused in medically underserved, rural, and minority populations. The Translational Research Innovations and Partners (TRIP) program was developed to provide medical students with cross-cutting research experiences using innovations that facilitate research with rural partnerships. If you are a first or second year medical student looking for a summer research experience, we welcome you to apply to the TRI TRIP program in Rural Health. The program is being offered at the University of Arkansas for Medical Sciences (UAMS) campus in Little Rock, UAMS-Northwest campus in Fayetteville, and the research experience may include field research across communities in Arkansas, depending on research focus area. This program is funded, in part, by the National Center for the Advancement of Translational Science, NCATS grant UL1TR003107.

Directions:

Please complete the questions below to submit your application to the TRI Translational Research Innovations and Partnerships program.
If you have any questions or encounter any trouble, you may contact Assistant Director of Programs, Chaz England at cengland@uams.edu.

First Name

* must provide value

Last Name

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Phone Number

Email Address

* must provide value

Medical School Year

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M-1

M-2

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Please describe your past research experiences.

* must provide value

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What is your long term career goal?

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What do you hope to get out of the TRIP program?

* must provide value

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If you already know or have been working with an investigator you would like to serve as you mentor, we are happy to try to accomodate you. If not, TRI will assist you with selecting a mentor. Please indicate below your first and second choice of investigators with whom you would like to work. Please remember that your mentor must be engaged in research related to rural/underserved health, community engaged research, digital health use to reach rural areas, etc. Please note that you are not guaranteed to work with the investigator you choose. We will make every effort to align you with your preferred investigator, as available.

Preferred Mentor 1

Preferred Mentor 2

If accepted in the program, I will commit to the full 10-week period of research.

* must provide value

Yes No

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If accepted in the program, I understand that I will be working full-time for at least 8 weeks of the 10-week period.

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Yes No

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If accepted in the program, I agree to complete online or outside assignments from the TRIP Program, as required.

* must provide value

Yes No

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If accepted in the program, I understand that I will be expected to attend all scheduled functions during the 10-week period.

* must provide value

Yes No

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If accepted in the program, I understand that requesting time away from the lab during the 10-week program could result in forfeiture of my position if I do not meet the 8-week project requirements.

* must provide value

Yes No

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Sex

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Female

Male

Prefer not to answer

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What race do you identify with

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American Indian/Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Native Hawaiian/Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, Marshall Islands or other Pacific Islands.

Black or African American: A person having origins in any of the black racial groups of Africa.

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Prefer not to answer

Ethnicity

* must provide value

Hispanic or LatinX: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Non-Hispanic or LatinX

Prefer not to answer

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