<<

STREAMS - Research Opportunities in Biomedical Sciences

WSU Boonshoft School of Medicine 3640 Colonel Glenn Highway Dayton, OH 45435-0001 APPLICATION (please type or print legibly) *Required information

*Name______Social Security #______

*Undergraduate Institution______

*Date of Birth: Class: Freshman Sophomore Junior Senior Post-bac

Major______Expected date of graduation______

SAT (or ACT) scores: VERB______MATH______Test Date______GPA______

*Applicant’s Current Mailing Address *Mailing Address After ______(Give date) ______

Phone # : Day (____)______Phone # : Day (____)______Eve (____)______Eve (____)______*Email Address:______FAX number: (____)______

Where did you learn about this program?:______

*Are you a U.S. citizen or permanent resident? Yes No (You must be a citizen or permanent resident to participate in this program) *Please indicate the group(s) in which you would include yourself: Native American/Alaskan Native Black/African-American Hispanic , please specify**______Disabled **See attached list

Rank your preferred area of interest from 1(most preferred) to 3 (least preferred):

Cellular/Molecular Biology Endocrinology/Hypertension Cardiovascular Epidemiology (Human Biology)

INSTRUCTIONS:(All of the following material MUST be submitted before an application will be considered.) Statement of Academic Interest and Career Goals: Statement should be one typewritten page. Transcript: Official copy of undergraduate transcript (including fall semester grades) sent by institution. Letters of Recommendation: Two letters of recommendation from academic faculty.

Mail applications to: STREAMS Lifespan Health Research Center WSU Boonshoft School of Medicine 3171 Research Blvd. Dayton, OH 45420-4006 Phone: (937) 775-1304; Fax: (937) 775-1456

Program Dates: Summer 2016 Stipend: $400 per week, plus travel expenses and free housing in WSU apartments. The application deadline is March 4, 2016.

PacificPacific IslandsIslands

• American () • o Aunuu • o Ofu • Significant outliers: o Olosega • o Rose Island • Kadavu o Swains Island (Olosenga, • Olohega) (disputed) • o Tau • Archipelagos: o Tutuila • • Baker Island (United States) • (Federated States of • ; ) • o Federated States of Micronesia • Moala Islands • • Rotuma Group • Ulithi • Vanua Levu Group • Chuuk • Viti Levu Group • Puluwat • Islands • Kosrae • French ("", Autonomous • Palau Overseas Territory of ) • Babeldaob o • Ioueldaob • Tubuai • • Southwest Islands • Iles du Vent (Windward Islands) • (France) • Moorea • • Tahiti o • Tetiaroa o Atiu • o Palmerston • Mehetia o Mangaia • Iles Sous le Vent (Leeward Islands) o (Humphrey) • o (Hervey) • o Mauke (Parry) • o Mitiaro • & Tahaa o Nassau • o Pukapuka (Danger) • Mopelia (aka Maupihaa) o Rakahanga (Reirson) • Manuae (aka Scilly ) o Rarotonga • Motu One (aka Bellinghausen) o Suwarrow (Anchorage) • Marquesas o Takutea • Fatu Hiva o Tongareva (Penrhyn) • () • Nuku Hiva • East Timor • Tahuata • /Rapa Nui (Chile) • Ua Huka • Islands • Ua Pou o Principal islands: • o /Fanning Island • () • Moruroa o /Washington Island • (Kiribati) • o Tongareva/Penhryn Island • (Cook Islands) • Helena Island o Vostok Island (Kiribati) • Galapagos Islands () • Lord Howe Island () • (Kiribati) • Marcus Island (Japan) • (United States; see also • Marianas Islands (United States) ) o o Main islands o Northern Marianas Islands • Hawai • Saipan • Kahoolawe • Rota • Kauai • Tinian • Lanai • Maug • Maui • Pagan Island • Molokai • Alamagan • Niihau • Farallon de Pajaros • Oahu • • Northwestern Hawaiian Islands o Bikini • Kaula o Enewetak • Nihoa o Kwajalein • Necker o Rongelap • French Frigate Shoals o Majuro • Gardner Pinnacles • (Australia) • Maro Reef • Federated States of Micronesia • (Caroline Islands) • Lisianski o Chuuk (Truk) • Pearl and Hermes Reef • Puluwat • Midway • Pohnpei • Kure • Kosrae • Howland Island (United States) • Yap • (United States) • Ulithi • Juan Fernández Islands (Chile) • Nauru • Kermadec Islands () • ("Kanaky", France) o Macauley Island o Chesterfield Islands o Raoul Island o Ilots du Mouillage • o New Caledonia o • Isle of Pines o (Kiribati) • Belep Islands o (United States) • New Caledonia o Kingman Reef (United States) • Loyalty Islands o / • Bagao (Kiribati) • Island o (Kiribati) • Maré Island o (United States) • Ouvéa Island o (Kiribati) • Tiga Island • New Zealand ("Aotearoa", see also o Uki Islands of New Zealand) • o Chatham Islands o Atafu (Duke of York Island) • Chatham Island o Fakaofo (Bowditch Island) • Pitt Island o Nukunonu (Duke of Clarence • D'Urville Island Island) • Great Barrier Island o Olohega (Swains island) • Kapiti Island (disputed) • North Island • (only main islands or groups, on • South Island north-south order. See also complete • Stewart Island/Rakiura list of islands in Tonga) • Waiheke Island o Niuafoou • (Savage Island) o Niuatoputapu (Keppel's Island) • o Vavau o Bismarck Archipelago o Kao • Admiralty Islands o Tofua • New Britain o Haapai • New Ireland o Tongatapu • Saint Matthias Group o Eua • Bougainville • Torres Strait Islands (Australia) • D'Entrecasteaux Islands • (see also Islands of Tuvalu) • Louisiade Archipelago o Funafuti (atoll of at least 30 • Trobriand Islands islands) • (Kiribati) o Nanumanga (or Nanumaga) • (UK) o Nanumea (atoll of at least 6 • () islands) • Samoa o Niulakita o Savaii o Niutao o Upolu o Nui (atoll of at least 21 islands) o Apolima o Nukufetau (atoll of at least 33 • (see also Islands of the islands) Solomon Islands) o Nukulaelae (atoll of at least 15 o Bellona islands) o Choiseul o Vaitupu (atoll of at least 9 o Florida Island islands) o Guadalcanal • (New Hebrides; see also o Malaita Islands of Vanuatu) o Maramasike o Ambrym o New Georgia Islands o Anatom o Rennell o Aoba o Russell Islands o Éfaté o San Cristobal o Erromango o Santa Cruz Islands o Espiritu Santo o Santa Isabel o Futuna o Shortland Islands o Hunter (claimed by France and o (Stewart Islands) Vanuatu) o Tulagi o Îles Banks o Ulawa o Îles Torres o Maéwo o Matthew (claimed by France and Vanuatu) o Malakula o Pentecóte o Tanna • Wake Island (United States) • (France) o Alofi o Futuna o Wallis (Uvea) • Willis Island (Australia)