UM Scholars 2022 Interested Students Form

Office of Student ResearchBressler, Suite M-019655 West Baltimore StreetBaltimore, MD 21201410 706 3026 StudentResearch@som.umaryland.edu http://medschool.umaryland.edu/osr

University of Maryland Scholars Summer Research Program (UM Scholars) at the School of Medicine

UM Scholars 2022 Interested Students Form

First Name*

Last Name*

E-mail*

Home Campus

University of Maryland, College Park (UMCP)Other

I would like to be notified when the following becomes available. (select all that apply)

Year of Study (e.g. Sophomore)

STEM Field or Degree Program (science, engineering, mathematics)

YesNoOther

How did you hear about this program?

Have you attended a previous information session for the program?

YesNoOther

Have you apply to the program in a previous year?

YesNoOther

Additional Comments