SUMMER SCHOLARS PROGRAM
OF THE
STOWERS INSTITUTE FOR MEDICAL RESEARCH
1000 East 50th Street, Kansas City, Missouri 64110
816-926-4400    studenttrainingprograms@stowers.org    www.stowers.org
APPLICATION
BIOGRAPHICAL DATA
Last name/Family name    First name/Given name    Middle name 
Preferred first name          Other names by which you have been known 
Mailing address              
Permanent address         
(if different)
Telephone number 
Home  Mobile Business
School Other 		Alternate telephone number 
Home  Mobile Business
School Other
E-Mail address  Re-enter the E-Mail address 
Will you be 18 years of age or older by the date you will start the program?  YES   NO
Have you taken or do you plan to take the GRE?  YES   NO     If yes, when? 
Have you taken or do you plan to take the MCAT?  YES   NO    If yes, when? 

List any relatives who are currently employed by the Stowers Institute:
Name       Relationship       Department 
Name       Relationship       Department 
POST-SECONDARY EDUCATIONAL BACKGROUND
Years of post-secondary education completed by program start date:
1   2   3   4   5   6
College or other schools City/State/Country Major/Course of study From To Degree
REFERENCES
Provide information for two to three references who can evaluate relevant school performance and/or any scientific research work.
Check this box to acknowledge that the Stowers Institute will e-mail each of your references to request a letter of recommendation when you enter their e-mail addresses and save or submit your application form. (You will receive an e-mail when each recommendation letter is received.)
Name  Title 
Institution  Mailing address 
Phone number  E-Mail address  
Name  Title 
Institution  Mailing address 
Phone number  E-Mail address  
Name  Title 
Institution  Mailing address 
Phone number  E-Mail address  
APPLICATION ESSAY 1
Write about an experiment or series of experiments that you have done in a laboratory setting. This can include an independent research project or a laboratory class assignment. What was the experiment? What was the result and what did it mean? What aspect of experimentation impressed you? Limit the essay to 500 words. Upload the essay as a PDF document with a heading "Application Essay 1."
APPLICATION ESSAY 2

Using the drop-down lists, select up to three specific Stowers laboratories and/or general research areas which most interest you. Below each selection, write a one- to two-paragraph statement explaining why you are interested in this research lab or area (see www.stowers.org/research).




ADDITIONAL RELEVANT INFORMATION
Provide additional information about your qualifications, in order of relevance: additional research experience, teaching, academic achievements, honors, extracurricular activities. Limit to 500 Words.
How did you hear about our program (you may select more than one answer)?
Previous or current work/internship at Stowers
Publication by Stowers scientist
School/Laboratory advisor
Conference
Virtual Fair
Social media
Google search
Nature blog
Nature Email

Additional comments
CANDIDATE STATEMENT
Write a Candidate Statement about your interests, motivations, goals, or challenges. Limit the essay to 500 words.
SIGNATURE

By typing your name below and checking the box next to your name, you hereby certify that the information given in this application is complete and accurate. You understand that the knowing submission of false or misleading information may, at the discretion of the Stowers Institute for Medical Research, result in denial or revocation of admission.

Signature                         I accept these terms                       Date 
No application fee is required.
Applicants are considered and accepted without regard to race, creed, color, religion, gender, sexual orientation, national origin, age, disability, military status or any other status protected by law.

Click this button to save the application and return to complete it.
You will be assigned a username and password.
Click this button when the application is complete to submit it immediately.