Interest Form

THE 2017-2018 APPLICATION IS NOW OPEN. PLEASE CLICK HERE TO ACCESS THE APPLICATION.

Thank you for your interest in our program.

Please fill out the following information to receive updates about future terms.

Notice: The Sinai Research Associates Program is a year-long commitment, which will span from September through August. Additionally, the program will only be able to accept individuals who are enrolled in a university as an undergraduate, a post-baccalaureate, or a graduate student.

Click here for the SRA program website.

First Name *

Last Name *

E-mail Address *

If you were accepted into the Sinai Research Associates Program, which hospital(s) would you be interested in volunteering in? Please check all that apply. *

Mount Sinai Hospital only

St. Luke's Hospital only

Mount Sinai West Hospital only

Both St. Luke's and Mount Sinai West Hospitals

Are you currently enrolled in a university as an undergraduate, a post-baccalaureate, or a graduate student? *

Yes

If you are enrolled in a college or university, are you an undergraduate, a post-baccalaureate, or a graduate student?

I am an undergraduate student

I am a post-baccalaureate student

I am a graduate student

If you are enrolled in a college or university, what is the name of your college or university?

If you are enrolled in a college or university, what is your expected month and year of graduation (MM/YYYY)?

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