InSRA Student Application Form

InSRA Student Application Form

Student Application Checklist: It is important to complete the following steps when applying for the Indigenous Summer Research Academy

  • Complete all sections of the InSRA Student Application Form (below).
  • Submit an essay (350-400 words) on why they would like to participate and how they will benefit from the program.
  • A minimum grade average of 65% and solid school attendance is required.
  • Interested students must have completed or are in the process of completing Math 20 – 1 or 20 – 2, and Bio 20, or Science 20, or one other science
  • Have a parent or legal guardian endorse and sign your application form.
  • Applicants must submit a reference letter from a teacher or a community/non-academic person.
  • For students living outside Lethbridge who are unable to arrange their own accommodation, please note the appropriate area on this application form (Living Arrangements).

REFERENCE FORM | InSRA HOMEPAGE

Section 1: Personal Information
Can you legally work in Canada?
You must have a social insurance number to work in Canada.
What is the best way to contact you?
Section 2: School Details
Section 3: References
Reference Type
Provide the name of your Referee. They should be directed to submit their reference at ...
Section 4: Academic Background
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.
You must have at least a 65% average and must have completed or be currently enrolled in Math 20 -1 or Math 20-2, Bio 20 or Science 20 or another science. Please submit the most recent report of your grades, stamped by the school office.
Section 5: A Little About You
Section 6: Your Interest in Science and Research
Are you willing to work in a research lab that uses animals in research?
Without biomedical research, many of our life-saving advances in medicine and health would not exist. Key to these advances is the use of animals in biomedical research according to the strictest ethical guidelines. For more information please go to the web site of the Canadian Council on Animal Care, which is the national body that sets guidelines for the experimental use of animals in academic institutions: http://www.ccac.ca/. As participants in university research projects, InSRA students may be asked to participate in research involving animals.
What subject fields are you most interested in? Pick 3:
Choose 3 subject fields from the list directly above.
Section 7: Essay
One file only.
2 MB limit.
Allowed types: txt, pdf, doc, docx.
Attach an essay (minimum 350 words to a maximum of 400 words) to this application form. Please address the following points. Remember, we want to hear your thoughts and ideas. 1. Tell us how you will benefit from the Summer Research Academy, and 2. Tell us why you want to be part of the Summer Research Academy
Section 8: Additional Information
InSRA Ambassadorship Role
Are you able to commit to giving a presentation to a science class about your InSRA experience?
One of the expectations of InSRA participants is that they will relate their research experiences to their peers. InSRA participants are required, upon their return to their high schools for their Grade 12 school year, to give at least one presentation about their summer research experience to a younger science class.
Immunizations
Do you have up-to-date immunizations?
All participants in the InSRA Program should have up-to-date immunizations and be prepared to produce their immunization records upon request. Additionally, participants may be asked to obtain further immunization shots, for example, Tetanus, depending on the type of research they may be working on. If you are not immunized and are not willing to obtain up-to-date immunization or comply with university regulations for additional immunizations, you can only work with those researchers who do not operate wet laboratories, if available.
Living Arrangements | This section is for students from outside Lethbridge only.
I understand and am prepared to make my own living arrangements.
I would like to apply for the $500 travel bursary
Students must make their own living arrangements while attending the InSRA program. A $500 travel bursary is available for eligible students. Students who are unable to find living arrangements may wish to consider options such as the Canadian Homestay Network (https://canadahomestaynetwork.ca/). Guardians should contact any housing agencies prior to the InSRA application deadline.
Time Commitment to InSRA
Are you prepared to commit to the full six consecutive weeks of the program?
You must be prepared to commit to the full six consecutive weeks of the InSRA program. You will not be able to take time off for vacations, competitions or to collect awards. Failure to do so will disqualify your application and cancel your placement in the program.
Signatures
Photograph your signature and upload it here.
One file only.
2 MB limit.
Allowed types: jpg, jpeg, png.
Upload a photo of your parent/legal guardian's signature.
One file only.
2 MB limit.
Allowed types: jpg, jpeg, png.
By submitting this application, you authorize the verification of the information provided on this form and agree that we can follow-up with you via email, phone and/or in writing. The personal information on this form is collected under the authority of the Post-secondary Learning Act (Alberta) and the Freedom of Information and Protection of Privacy Act (Alberta). The use of this information will be restricted to the application to the InSRAprogram at the University of Lethbridge and for the purpose of administering your admission to this program. For questions about the collection, use and disclosure of this information, please contact the University's FOIP Coordinator at 4401 University Drive West, Lethbridge, AB T1K 3M4; email: foip@uleth.ca; phone: 403-332-4620.