East Carolina Heart Institute Research Program

Research skills are an important asset for those students who plan to enter a health-science related field. Many of the daily tasks performed by healthcare professionals require complex critical thinking, fluent communication, and excellent writing skills. The best way to foster these skills is to conduct research. With time and increased experience, students can attain research skills that will be critical on their road to success. The East Carolina Heart Institute at East Carolina University is a leading research institute in eastern North Carolina where physicians and researchers are now accepting qualified students to assist in their research projects via the East Carolina Heart Institute (ECHI) Research Program.

The objective of the ECHI Research Program is to provide students with the opportunity to participate in a medical research experience, in basic science or clinical research, by working with a mentor physician at the East Carolina Heart Institute. Students will earn two semester hours of biology credit per semester for their research project. The time commitment required for this program is two semesters; therefore, students must leave room in their class schedules to accommodate this program.

As part of this experience, students will have the chance to attend a professional conference where they will be able to present their research findings to the medical community. The goal of this program is to provide students with an outlet to gain insight into the research aspect of medicine. The experience they gain will be indispensable to their success as a future physician or any other endeavor they plan to pursue.

Requirements

 Eligible candidates will be required to have completed 42 semester hours.

 Have a minimum cumulative GPA of 3.3.

 Be enrolled as a full-time undergraduate student for the duration of the program.  Selected students will be registered for a Biology or Chemistry research course. For office  Must be able to allocate 2 semester hours for 2 consecutive semesters. use only:

ECHI Research Program Date received: Name ______ECU (Banner) ID ______

Birth Date ____/____/______GPA: ______Local Address ______

______

Number (Cell Phone) (_____) _____-______

ECU Email Address ______

How did you hear about this program?

______

ELIGIBILITY

Number of semester hours you have completed in college, including AP, CLEP, and community college work, (not including the current semester) ______Grade Point Average (*A minimum cumulative GPA of 3.3 is required at the time of selection as well as during the semester you research.) ______

ADDITIONAL INFORMATION

College attended, city and state ______

Number of credit hours completed (not including the current semester) ______

Course of study/major ______

List completed Biology & Chemistry courses ECHI Research Program

Are you registered with the PCMH / Vidant Volunteer Center? ______

Have you been convicted of or pleaded no contest to a felony within the last five years? ______

If yes, please explain:

Have you been convicted of, pleaded guilty to, or pleaded no contest to, an act of dishonesty, or breach of trust or moral turpitude, such as misdemeanor petty theft, burglary, fraud, and other related crimes within the last five years? ______

If yes, please explain:

*Conviction of a crime, or pleading guilty to a criminal charge, will not necessarily disqualify you from consideration for the ECHI Research Program.

VOLUNTEER HISTORY

List previous Shadowing or Volunteer experiences. (May submit on a separate page)

LEADERSHIP EXPERIENCE

Please list any leadership experiences that you have had in the past three years (May submit on a separate page) ECHI Research Program

CONDITIONS OF ACCEPTANCE TO THE PROGRAM

The program has high standards for its participants, and compliance with these standards is a condition of participation in the program. Students are expected to represent East Carolina University in a positive manner upholding the following standards of professionalism:

 Dress professionally at every research session

 Have professional manners and behavior

 Be on time for every session

 Respect the work of the researchers

 Follow Brody School of Medicine’s policies and procedures

 Represent ECU in a positive light

 Complete the HIPAA Privacy quiz and all other required paperwork

Are you willing and able to comply with all the requirements listed? ___YES ___NO

REFLECTION QUESTION

Why do you wish to be a participant in the East Carolina Heart Institute Research Program? What do you hope to gain from this experience? Please submit your response to these questions on a separate attachment.

I agree that the information provided by me in this application is true, correct, and complete to the best of my knowledge. I understand that if selected for the program, any falsification, misstatement, or omission of fact in connection with my application, whether on this document or not, may result in immediate termination of participation. I authorize you to verify any and all information that I have provided. Signature: ______

Printed Name: ______

Date: ______

Applications are due by 5 pm on Monday, April 3rd, to Elizabeth Locklear in the Pre-Professional Advising Center, 2500 Old Cafeteria Complex (or by e-mail, [email protected]).