CaRES Preceptor Application

CCC Research Program Area:
Cancer Cell Biology
Cancer Chemoprevention
Cancer Control and Population Science
Drug Discovery and Development
Experimental Therapeutics
Tumor Immunology
Neuro-Oncology
Women's Cancer

Number of hours per week that you will personally supervise or work with your intern:

Other faculty, staff, or graduate students who may help to supervise the intern:
1.
2.

Title of Project:
(NOTE: You may submit more than 1 project, but please submit each project separately. Limit title to 25 words)


Project Status: Already up-and-running; About to begin
Proposed Start Date (earliest is April 13):
Proposed End Date (latest is August 28):
Number of Weeks of Internship (at most 16 weeks will be funded):

Number of Interns Desired for this Project:
1
2

Expected Number of Hours Each Intern to work per week:
10 hours
20 hours
30 hours
37.5 hours (maximum allowable)
Negotiable

Expected work schedule for intern:
Not very flexible, intern MUST be at work on certain days of the week and at certain times of the day
Flexible, intern can largely set his or her own schedule

Category of Project:
Laboratory Research
Animal Research
Clinical (Patient Care) Research
Analytical/Statistical Research
Community-Based or Field Research
Other (specify)

Specify cancer site or cancer topic that is the focus of this project:
Bladder
Brain
Breast
Cervix
Chemical Carcinogens
Colon and rectum
Esophagus
Genetics
Head & Neck
Kidney
Leukemia/Blood
Liver
Lung & Bronchus
Non-Hodgkin's Lymphoma
Nutrition
Obesity
Oral Cavity
Ovary
Palliation
Pancreas
Prostate
Radiation
Rehabilitation
Screening
Skin
Stomach
Testis
Thyroid
Tobacco
Treatment
Uterus
Multiple Cancer Sites
Other (specify):

Project Description (limited to 500 words):

Intern's three main anticipated duties with regard to this project (examples: preparing reagents, sacrificing rats, interviewing patients, analyzing data, making presentations in the community):
1.
2.
3.

Preceptor will provide intern with access to the following (check all that apply):
office or desk space
computer and printer
laboratory work bench space
supplies needed to complete project
equipment needed to complete project

Likelihood that intern will be included as an author on one or more publications related to this summer research project:
Very likely
Possible
Not likely

Students interested in serving as your intern want to know what background, education, experience, or expertise they should have in order to be successful in working with you. Please indicate the areas in which your ideal intern should have knowledge or experience. (check all that apply):
Animal Research
Behavioral Science/Psychiatry
Biochemistry
Cancer Rates, Trends and Statistics
Cell Biology
Clinical Oncology
Clinical Trials
Computer Programming
Environmental Carcinogenesis
Epidemiologic Methods
Genetics
Grant Proposal Preparation
Immunology
Infectious agents and cancer
Interview Skills
Laboratory Skills, basic knowledge
Laboratory Skills, advanced knowledge
Literature Review Skills
Manuscript Preparation for Submission to a Journal
Microbiology
Minorities and Health
Molecular Biology
Neurosciences
Nutrition Sciences
Obesity and Diet
Pathology
Patient Care
Pharmacology
Physiology
Questionnaire Development
Rehabilitation
Scientific Writing Skills
Statistical Genetics
Statistics and Data Management, basic knowledge
Statistics and Data Management, advanced knowledge
Women's Health Issues
NONE OF THE ABOVE (just the willingness to learn)
Other (specify):