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

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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.

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Required format:

w7R3gH95W6SUs7pC6UTLWwYILdYa8eXULqUxuhpbj7xDuGfkzjuJ

Huntsman Cancer Institute Trainee Interest Form

Huntsman Cancer Institute is dedicated to training the next generation of cancer researchers. Our robust, research-intensive programs provide learning opportunities across the education continuum, from high school students beginning to explore cancer research to early career faculty launching their independent research careers.

Please complete the form below to indicate your interest in research and training opportunities at Huntsman Cancer Institute.

First name

Middle name

Last name

Date of birth (MM/YYYY)

Email address

Mobile phone number

Permanent resident zip code

Current level in school

High school name

Are you a University of Utah student?

Yes

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Do you work at the University of Utah?

Yes

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Please share your UnID#

Please describe

Institution name

Please indicate which training opportunities you are interested in.

Summer research training opportunities (virtual)

Summer research internship programs (in-person)

Academic year research opportunities

Clinical shadowing opportunities (must be at least 17 years old)

Mentorship

Other

Please describe

Race

Tribal Affiliation

Please describe

Please select which best represents your race.

Chinese

Indian

Filipino

Vietnamese

Korean

Japanese

Pakistani

Cambodian

Hmong

Vietnamese

Laotian

Burmese

Thai

Other

Please describe

Ethnicity

Which group or groups best represent your Hispanic/Latino Heritage?

Mexican, Mexican American or Chicano

Puerto Rican

Cuban

Dominican

Central or South American

Brazilian

Other

Prefer not to answer

Please describe

Gender identity

Please describe

Sexual identity/Sexual orientation

Please describe

Pronouns

Please describe

Do you have a mental or physical disability?

Please indicate if you are a U.S. Veteran

Please indicate if you have ever met any of the following criteria in your lifetime:

Grew up in a U.S. rural area

Grew up in a centers for Medicare and Medicaid Services-designated Low-Income and Health Professional Shortage Areas (if known)

Experienced homelessness

Were in the foster care system

Eligible for Federal Free and Reduced Lunch Program

Had no parents or legal guardians who completed a bachelor's degree (first-generation college student)

Was eligible for Federal Pell grants

Received support from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

I prefer not to answer

Rural zip code

Primary language spoken in Childhood home

Please describe

Were you born in, or primarily grew up in, a state from the Area We Serve? (Idaho, Nevada, Montana, Utah, & Wyoming)

Please specify further the state(s) you were born in, or primarily grew up in from the Area We Serve (Idaho, Nevada, Montana, Utah & Wyoming).

Idaho

Nevada

Montana

Utah

Wyoming

I prefer not to answer

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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.