Stanford Pre-Renal Initiative Application

Thank you for your interest in the Stanford PreRenal Initiative Undergraduate Summer Program. Applications will be reviewed on a rolling basis after January 15th. Award notifications will be sent beginning in February. If you need assistance or have any questions, please contact the Pre-Renal Initiative Program Manager at prerenal-initiative@stanford.edu or 650-725-5210.

General Information

First Name

Last Name

Date of Birth

Email Address

College or University

Institution Type

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Major/Minor

What year of your undergraduate program will you start in Fall 2023?

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What is your current cumulative undergraduate GPA?

Educational Interests

The next set of questions allows the selection committee to get to know you better in order to pair you with the best mentors and projects for your academic interests. To learn more about the work of our faculty mentors, visit the Pre-Renal Initiative Site at prerenal.stanford.edu, or contact us with questions on any of the below topics.

Please select your top two research interests from the list below

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Research in the areas of the Kidney, Urology and Hematology often intersects with other aspects of health, including Maternal & Child Health, Global Health/CKDu and Sexual Health. In order to best pair faculty mentors with trainees, please specify whether either of these fields interest you in addition to your interest in Kidney, Urology and Hematology.

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List 3-5 Stanford Faculty whose work you are interested in

Note: Please do not contact faculty on your own. If you are selected for the program, we will assign you to a faculty member. We cannot guarantee that you will be matched with a mentor of your choice, but we will do our best to accommodate all requests. View profiles of faculty mentors here.

Identity & Background

Stanford Nephrology and the NIH are committed to enhancing the diversity of the biomedical, behavioral, and clinical research workforce, and these questions help to identify applicants who are from backgrounds historically underrepresented in the fields of Kidney, Urology, and Hematology. All interested undergraduate students are encouraged to apply. Note: If you prefer to specify your answer rather than choosing from the list, you can write it in the field directly.

Gender

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Do you identify as a disabled individual and/or a person with a disability? This question specifically refers to your sense of personal identity. Choose all that apply.

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Ethnic Identity

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Racial Identity

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Do any of the following statements apply to you? (Please choose all that apply):

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Letters of Reference

Please list the contact information for two recommenders. Your recommenders will receive an automated email from Stanford Nephrology requesting a letter of recommendation on your behalf.

Letters of Reference can come from anyone who can speak to your academic and/or research capabilities, including but not limited to professors, mentors, and supervisors.

Name of Recommender #1

Email Address of Recommender #1

Relationship to Applicant

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Name of Recommender #2

Email Address of Recommender #2

Relationship to Applicant

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Upload Application Files

Please upload the following as a single PDF document, and save the document as Lastname_Firstname_PreRenalApplication.pdf:

Statement of Personal and Professional Interests: Include a 1/2 page summary of why you are interested in this specific program, and describe your future career goals. Please also describe how this program will help you achieve your future goals. If you would like to provide context to any of the information given above (e.g. discontinuity in education, etc), please feel free to disclose here.
Current CV (2 page maximum)
Transcript (unofficial ok)
Research Experience (optional): If applicable, please include a brief description of your past and current research Limit 1/2 page.

Statement of Interests, CV, Transcript and Research Experience (if applicable)

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