Application

MHRT Application

Personal Data

Gender *
Sexual Identity *
Race/Ethnicity *

Citizenship

If you are not a U.S. citizen but have U.S. Permanent Residence Status, please give your Alien Registration Card number. Your Alien Registration Number is an 8-digit number which may be found in your passport or other documents provided to you as proof of legal permanent residence. (Example: A0000000)

Educational and Employment History

You must list ALL colleges and universities you have attended whether or not a degree was awarded. List your current institution first. Masters students need to list both Bachelors and Masters GPA. Doctoral students need to list Bachelors, Masters, and Doctoral GPA.
Current enrollment status *
Upload Transcripts here *
Maximum upload size: 2MB
Upload Transcripts here
Maximum upload size: 2MB
Upload Transcripts here
Maximum upload size: 2MB
Upload Transcripts here
Maximum upload size: 2MB
Upload CV/Resume *
Maximum upload size: 2MB

Program Data

Are you currently a/ an *
Have you previously received a MHIRT/MHRT Traineeship? *
From
To
First Choice
Second Choice
Third Choice

Language Skills

Written skills
Reading skills
Verbal skills
Written skills
Reading skills
Verbal skills
Written skills
Reading skills
Verbal skills

Statement of Interest

Please relate your interest in public health/ biomedical research to your formal education, past and present employment, research interest, and career goals. Your statement should be concise but as specific as possible. (Please upload your word file where your statement should be between 1 and 2 pages) *
Maximum upload size: 2MB

Letters of Reference

Please give the names, titles, and phone numbers of the two persons who have submitted letters of reference for you. NOTE: If the person who is writing your letter prefers to send it directly to the program please give them the following email address: sarahgf@uab.edu. If this is the case, you just need to upload a word document to the application that says letter of rec will be sent by email or mail and the application will allow you to submit.
Letter of reference 1 *
Maximum upload size: 2MB
Letter of reference 2 *
Maximum upload size: 2MB

Legal

I hereby certify that the information I have provided to the Minority Health Research Training (MHRT) program is complete and accurate and that any misrepresentation may be cause for denial of admission *

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UAB the University of Alabama at Birmingham home
UAB is an Equal Opportunity/Affirmative Action Employer committed to fostering a diverse, equitable and family-friendly environment in which all faculty and staff can excel and achieve work/life balance irrespective of race, national origin, age, genetic or family medical history, gender, faith, gender identity and expression as well as sexual orientation. UAB also encourages applications from individuals with disabilities and veterans.