THIS APPLICATION IS TO BE COMPLETED BY THE STUDENT Student's First Name:
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Student's Last Name:
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Current Age (you must be 16 years old to participate in the program):
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Date of Birth:
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Today M-D-Y
Permanent Address:
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City:
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State:
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Zip Code:
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County:
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Cell Phone Number:
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Can we text your cell phone number?
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Yes
No
Email Address:Please provide an email address that you check regularly and that we can use to contact you after you graduate. DO NOT USE YOUR SCHOOL EMAIL ADDRESS.
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Ethnicity/Race: Check all that apply. [Complete this question for reporting purposes only. This question will not affect your admissions decision.]Hispanic or Latino : A person of Cuban, Mexican, Puerto Rican, South or Central American, or Spanish culture or origin, regardless of race.American Indian or Alaska Native : A person having origins in any of the original peoples of the North and South America (including Central America) who maintains cultural identification through tribal affiliation or community attachment.Asian : A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.Black or African American : A person having origins in any of the black racial groups of Africa.Native Hawaiian or Other Pacific Islander : A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Island.White : A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Tribe Affiliation(s) (if applicable):
Have you faced challenges or obstacles to your education?
Individuals who identify their race or ethnicity as Black, African American, Hispanic, Latinx, American Indian, Alaska Native, Native Hawaiian, and other Pacific Islanders
Individuals with documented disabilities, who are defined as those with a physical or mental impairment that substantially limits one or more major life activities as described in the Americans with Disabilities Act
Individuals who come from a family with an annual income below established low-income thresholds (thresholds here: https://aspe.hhs.gov/poverty-guidelines)
Individuals who come from an educational environment such as that found in certain rural or inner-city environments that has demonstrably and directly inhibited the individual from obtaining the knowledge, skills, and abilities necessary to develop and participate in a research career
Individuals who have/had no parents or legal guardians who completed a four-year college degree
Individuals who were or currently are homeless, as defined by the McKinney-Vento Homeless Assistance Act
Individuals who were eligible for the Federal Free and Reduced lunch Program for two or more years
Gender
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Male
Female
Decline to Answer
Please provide an unofficial copy of your transcripts or your most current report card.
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Name of High School(s) Attended:
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What grade are you in?
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What is your current Grade Point Average?
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Which research areas interest you? (select all that apply)
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Please check specific areas of current research at the UNM Cancer Center that particularly interest you. For program descriptions, visit the UNM Cancer Center
website .
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What top three careers interest you and why?
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Write a question about cancer research or treatment that came up through a discussion with your family and/or community members about cancer.
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List any area of research that you may be uncomfortable working in or with.
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Statement explaining your interest in research: Briefly describe your future academic and professional goals, relevant research interests, skills, and accomplishments, reason for applying to the internship program, and the way(s) in which this experience will help meet your short and long term goals.
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Are you available to work full-time during the summers of 2025, and if first year of program, also 2026?
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Yes
No
If your schedule conflicts, please provide dates and times and why these conflict with participation in the internship.
Are you able to provide your own transportation to your project site, training, and internship activity locations?
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Yes
No
If selected, do you commit to fulfilling the internship requirements including submitting required forms by the deadlines, maintaining your timesheet, attending an orientation session, completing training courses, participating in seminars and other internship activities, completing research project goals, giving presentations, and evaluating your experience?
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Yes
No
Do you give your permission for the UNM Cancer Center to retain your CURE program information for up to five years and allow us to contact you during that time to ask about your education, degrees and/or jobs obtained, and your major area of study, among other things?
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Yes
No
How did you hear about the CURE internship program? (Check all that apply.)
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Have you previously applied for the CURE internship program?
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Yes
No
What year(s) did you apply?
STUDENT AGREEMENT: I certify that my answers are true and complete to the best of my knowledge. If this application leads to acceptance, I understand that false or misleading information in my application may result in my dismissal from the program. I have read the CURE Program website and I understand and am willing to abide by the conditions and expectations set forth by the internship program. I realize that failure to comply with these rules may result in dismissal from the program. I authorize the program to use still or video photographs of me for publicity purposes.
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Today's Date:
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Today M-D-Y
CURE APPLICATION CHECKLIST: