Date: _________________
Name: _______________________________________________________________________
Address: ______________________________________________________________________
City: _______________________________ State: _________________ Zip: ___________
Phone: _____________________________ Email: ________________________________
School: _____________________________ Current GPA: __________________________
Current Grade: ____ freshman ____ sophomore ____ junior _____ Senior
Expected date of graduation: _____________________________________________________
Faculty Advisor: _____________________ Phone Number: ________________________
Residency Status: ______ U.S. citizen _____ Permanent resident _____ Other
How did you hear about this program: __Company website ___Email ___Other
Please list any laboratory skills, research experience, awards, honors or extracurricular activities you would like us to know about (attach additional sheets if needed):
______________________________________________________________________________________
______________________________________________________________________________________
Please attach the following required documents with this application and send to the address below. You may also email these documents to info@antibodyresearch, with subject line “application for internship”.
1. Personal statement about your interests in Science and Research (about 1 page, stating why you are interested in this program, what you are planning to do after high school and how this is program may help you).
2. Official or unofficial transcript from school.
3. Your current resume.
4. Two letters of recommendation from teacher or peers.
Antibody Research Corporation is an equal opportunity employer and encourages applications from underrepresented groups, including minorities, women and people with disabilities.