CRTEC Mentorship Interest Form

Research Interest Form

For Undergraduate and Graduate Students
Request to be connected to a research mentor at the University of Cincinnati Cancer Center to gain hands-on experience in lab-based research. Requests will be reviewed, and we will make our best attempt to connect you with a researcher to discuss opportunities further. Not all requests will be able to be fulfilled.
Your Contact Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your Educational Background & Experience
What type of program are you currently enrolled in?*
School Name
Major or Program Name
Current Program Cumulative GPA
Upload a Resume or CV*

Only PDF and Word documents are accepted.
Cancelof
Research Interests
Please select the area(s) of cancer research you are interested in:*

Clinical ResearchTumor MicroenvironmentTreatment ResistanceBasic Mechanisms of CancerCancer MetabolismClinical TrialsPopulation HealthDisease Site SpecificOther
What type of mentorship opportunity are you interested in?

Spring SemesterFall SemesterSummerYear RoundOther
How much time can you devote to your mentorship opportunity?

Less than 10 hours per week10 - 20 hours per weekMore than 20 hours per weekOther
What type of position are you looking for?

Volunteer PositionPaid Position
What are your career aspirations, and what are you looking to get out of this experience?*
Please review the list of University of Cincinnati Cancer Center members to identify those with whom you are interested in working. View the full list of members.

List up to five Cancer Center members you are interested in working with:*

Rows	Cancer Center Member
1
2
3
4
5

Should be Empty:

Research Interest Form

Your Contact Information

Your Educational Background & Experience

Research Interests