The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

SVB7MCmkTBX56a8y5GqSgtCdqnShMn8LCnhWXJUQssQFg764ZDJiijLRceFkmvR3wujqptLJhReb2xoYp4RLNUCLnv9icSjBdqaL4znNruaFus3ZxHqwwYgV

Student Requests for Research

Thank you for your interest in a research student experience at BIDMC. To help facilitate your request, we have created a form for you to share information about your background, interest areas, work availability. The BIDMC Office of Student Engagement and Experience (OSEE) will do our best to connect you with relevant Departments and research labs that may have openings, and/or be willing to speak with you.

Please note that filling out this form is not a guarantee of being connected to a Department and/or receiving an offer to conduct research at BIDMC.

Any questions about this form and process should be directed to Ethan Selinger, Program Director for the BIDMC Office of Student Engagement and Experience (OSEE). You can also schedule a meeting to discuss your interests and/or questions about this process here: https://calendly.com/eselinge-bidmc/30min

First and Last Name

* must provide value

School or Institution

* must provide value

Anticipated graduation date (month/year)

* must provide value

What is your email address?

* must provide value

What is your phone number?

* must provide value

Level of Experience

* must provide value

Current Major (if high school, please select N/A)

* must provide value

Will you receive academic credit for a research opportunity at BIDMC, and/or will this satisfy a graduation requirement?

* must provide value

Yes

reset

If you selected yes to the question above, please explain further. If not, please explain how a research opportunity will benefit your academic learning and career goals?

* must provide value

Expand

What type of research interests you? Please select all that apply

* must provide value

Basic Science Research

Clinical Research

Translational Research

What type of research environment interests you? Please select all that apply

* must provide value

Wet Lab

Dry Lab/Computational

Other

Please briefly describe your research and career interests (3-5 sentences) and upload it here

* must provide value

Upload file

Please upload a copy of your resume or CV

* must provide value

Upload file

What time period(s) are you eligible/able to participate in research at BIDMC?

* must provide value

Expand

Have you been referred to fill out this form by a contact at BIDMC?

* must provide value

Yes

reset

What is your preferred work modality?

* must provide value

In-Person

Hybrid

Remote

Are you authorized to work in the United States?

* must provide value

Yes

reset

Is there anything else you would like us to know?

Expand

In addition to filling out this form, if you would like to meet with the BIDMC Office of Student Engagement and Experience (OSEE) to discuss your research interests further, please don't hesitate to schedule a time to connect: https://calendly.com/eselinge-bidmc/30min

Student materials sent to PI?

Most recent date materials were sent

M-D-Y H:M

Department Interested?

Matched?

Yes

reset

Hire made by PI and reported to OSEE?

Yes

reset

Offer Letter Sent?

Yes

reset

Intake Form submitted to PI to complete?

Yes

reset

Intake Form Completed?

Yes

reset

Materials Submitted to Research Onboarding Inbox?

Yes

reset

Notes

Expand

BIDMC Relationship

* must provide value

Yes

reset

Volunteer/WFD Student

* must provide value

Yes

reset

Student from OSEE partner

* must provide value

Yes

reset

Direct PI Hire

* must provide value

Yes

reset

Met with OSEE?

Yes

reset

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.