Apply

Start Your Future

Take the first step in stepping up.

Apply as soon as possible. The application process will be closed once 20 Scholars have been selected. The physicians and scientists of the Lifespan Cancer Institute and the Brown Cancer Center look forward to working with you this summer.

Step 1 of 4

Applicant

Name of Applicant(Required)

First Last

Date of Birth(Required)

City/State/Country of Birth(Required)

City State / Province / Region Country

Race/Ethnicity (list all that apply)(Required)

Primary languages spoken at home(Required)

Applicant Email(Required)

Applicant Phone(Required)

School Information

Current Grade - Sophomores only(Required)

High School Name(Required)

Other School (Please Indicate)

Household Information

Primary Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Parent or Guardian(Required)

First Last

Relationship to Applicant(Required)

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

Student Questionnaire

What are your interests and hobbies?(Required)

Tell us why you are interested in science and health?(Required)

What were your courses in 9th grade and what grades did you receive?(Required)

What courses are you taking in 10th grade and what are your grades?(Required)

What are your plans after high school?(Required)

Why are you interested in the Future Gen Cancer Scholars Program?(Required)

Do you see any barriers to participation in the 6-week summer program or the orientation during the spring break?(Required)

Phone

This field is for validation purposes and should be left unchanged.