STREAMS External Application

Legal First Name of Applicant(*)

Please enter your first name.

Legal Middle Name of Applicant

Please enter your middle name.

Legal Last Name of Applicant(*)

Please enter your last name.

Preferred Name of Applicant

Please enter your preferred first and last name.

Current Street Address(*)

Please enter your current street address.

City(*)

Please enter the city of your current street address.

State(*)

Please enter the state of your current street address.

ZIP Code(*)

Please enter the ZIP code of your current street address.

Primary Email Address(*)

Please enter your email address.

Secondary Email Address(*)

Please enter an email address other than your school email address through which we can contact you about the program.

Phone Number(*)

Please enter your phone number.

Citizenship(*)

U.S. Citizen

Permanent Resident

Please select whether you are a U.S. citizen or a permanent resident.

Gender(*)

Male

Female

Other

Do not wish to provide

Please select the gender you most closely identify with from the options below.

If you selected "Other," please provide the gender you most closely identify with.

Please enter the gender you most closely identify with.

Race(*)

American Indian/Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other

Do not wish to provide

Please select the race you most closely identify with from the options below.

Are you Hispanic or Latino?(*)

Yes

No

Do not wish to provide

Please indicate whether you are Hispanic or Latino/Latina/Latinx.

Do you have a disability?(*)

Yes

No

Do not wish to provide

Please indicate whether you have a disability.

An 8-10-week, full-time commitment to the program is required. Please indicate the dates that you are available for full-time research.

(*)

Please provide the dates or periods that you would be available to work full time as part of the STREAMS program.

Research Interests (select all that are of interest to you)(*)

Basic science research generates new ideas, principles and theories, which form the basis of progress and development in different fields.

Clinical research studies the safety and effectiveness (efficacy) of medications, devices, diagnostic products and treatment regimens intended for human use.

Translational research applies discoveries generated during research in the laboratory and in preclinical studies to the development of trials and studies in humans and also enhances the adoption of best practices in the community.

Outcomes research seeks to understand the end results (outcomes) of particular health care practices and interventions.

Please select at least one research area you are interested in.

Please upload your CV as a PDF using the field below. Your CV must include details regarding your previous research experience(s).(*)

Please upload your CV as a PDF using the field below.

Please upload your undergraduate transcript as a PDF using the field below.(*)

Please upload your undergraduate transcript as a PDF.

Please upload your medical school transcript as a PDF using the field below.(*)

Please upload your medical school transcript as a PDF.

Please upload your one-page statement as a PDF using the field below. This statement should include a brief personal background, your research interests and your long-term career goals.(*)

Please upload your statement as a PDF using the field below.

Please upload your two (2) letters of recommendation as one, single PDF using the field below. If you do not know how to combine multiple files into one PDF, instructions on how to do so via Adobe Acrobat are available here.(*)

Please upload your two letters of recommendation as one, single PDF using the field below.

Please indicate that you agree with the following statement: "I certify that I have reviewed the information I have provided to the best of my abilities and that this information is correct and accurate."(*)

Agree

Please indicate that you have reviewed the information provided in your application and that you believe this information to be correct, to the best of your knowledge, by selecting "Agree" in the field below.

Please indicate that you are not a robot.

Explore UAB

Colleges & Schools

Department of Surgery

STREAMS Application for External Applicants