Summer Research Program Application

Summer Research Program High School Application

Applications are due by 5:00 pm on Monday, February 16th, 2026. No late submissions will be accepted. Please direct all questions to SummerResearch@lsuhsc.edu; no phone calls, please.
1. Personal Information
First Name
Middle Name
Last Name
Current Address
City
State
Zip Code
Date of Birth

MonthDayYear
Place of Birth (City AND State or Country)
E-mail Address
Alternate E-mail
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Relationship to Emergency Contact
Are you a US citizen?
If you answered no, please indicate status
Have you ever been employed as a student worker or participated in a summer program at LSU Health Sciences Center-New Orleans?
If you answered yes to the above question, please specify which summer program and year you participated. If you were employed as a student worker, please specify which Department and School at LSUHSC and provide specific dates of employment.
2. Demographics

LSUHSC is an equal opportunity/affirmative action employer. Our training programs are supported in part through funding from federal, regional, and local sources. The items below are useful to us in order to assess and report the diversity of applicants and participants in our program. Responses are voluntary and will in NO way influence assessment of your application.
Race: Please choose all that apply. If choosing other, please specify what race.

Other
Ethnicity
Gender
LSUHSC-New Orleans is committed to creating an inclusive and accessible environment according to the ADA, ADAA, and Section504 of the Rehabilitation Act of 1973. Do you need accommodations?
3. Academic Information

Only Juniors and Seniors at the time of application will be considered. REFEERENCE CONTACT INFORMATION NEEDED ONLY AT THIS TIME. RECOMMENDATION LETTERS FROM REFERENCES WILL BE UPON REQUEST.
Current High School
Current Level
Overall GPA
School planning to attend in Fall
Reference #1 (Name)
Reference #1 (Title)
Reference #1 Phone Number

Area CodePhone Number
Reference #1 E-mail
Reference #2 (Name)
Reference #2 (Title)
Reference #2 Phone Number

Area CodePhone Number
Reference #2 E-mail
4. Research Interest Information
Please check the areas of research that you are interested in. You may list specific faculty labs if you have identified such. Listing specific labs does not guarantee placement.

Other
Preferred Faculty Mentors (if known)
Please list laboratory experience, previous internships, and/or lab rotations (if any)
Please attach a cover letter describing your research interests and career goals (Label as "Last Name Cover Letter". Submit in a PDF format only).

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Please attach a resume describing schools attended, previous job experience, and relevant accomplishments (Label as "Last Name Resume". Submit in a PDF format only).

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Summer Research Program High School Application

1. Personal Information

2. Demographics

3. Academic Information

4. Research Interest Information