GROW CELLS Application

GROW CELLS SUMMER ACADEMY HEALTH DISPARITIES RESEARCH APPLICATION
June 1 - June 19, 2026 (Monday - Thursday) Virtual and In-Person

Lunch will be provided during In-Person sessions
July 6 - July 17, 2026 fieldwork/practicum/abstract review
Cancer Research Symposium - July 21-22, 2026

Montgomery, AL (Location To Be Decided - Travel, Lodging, and Meals Included)
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth
Age
Gender
Are you a U.S. Citizen?
Race/Ethnicity

AsianBlack or African AmericanHispanicIndigenous AmericanNative Hawaiian or Pacific IslanderWhiteOther
Please list below the parent/guardian to be notified in case of emergency.
Name

First NameLast Name
Relationship
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Email
example@example.com

Name of School
Grade in School for 2026-2027 School Year
Career Goals
List previous high school science, math, and health course. Please include grade.
Science, Math, and Health Course/Grade
Science, Math, and Health Course/Grade
Science, Math, and Health Course/Grade
Science, Math, and Health Course/Grade
Science, Math, and Health Course/Grade
Science, Math, and Health Course/Grade
Honors and Awards
RECOMMENDATION from CURRENT Science Teacher
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Recommendation Letter

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ESSAY: On a separate sheet of paper, please develop a 250 – 500 word typed essay on:

•       Why you would want to participate in the program

•       How the program would relate to your school and career goals

•       Your qualifications and how they would help you succeed in the program

Upload Below
Essay

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VERIFICATION: Students will receive a confirmation email when the application has been received by Ms. Creighton. Interviews will be announced shortly thereafter.

Participants will be required to follow Morehouse School of Medicine COVID-19 guidelines.

I certify that the information submitted in this application is true and correct to the best of my knowledge. I give the program director and coordinator permission to verify my information. If selected, I authorize and release Morehouse School of Medicine to video, photograph or otherwise record my participation in this program.
Student Signature*
Parent Signature*
Should be Empty:

GROW CELLS SUMMER ACADEMY HEALTH DISPARITIES RESEARCH APPLICATION

June 1 - June 19, 2026 (Monday - Thursday) Virtual and In-Person

July 6 - July 17, 2026 fieldwork/practicum/abstract review

Cancer Research Symposium - July 21-22, 2026

Please list below the parent/guardian to be notified in case of emergency.

List previous high school science, math, and health course. Please include grade.

RECOMMENDATION from CURRENT Science Teacher