Intent to Participate

Please read and complete all parts of this form carefully, and reply within 10 days of receiving your acceptance letter.

Name

(Required)

Last Name

(Required)

Current College or University

(Required)

Please check the appropriate boxes below to officially accept the offer to participate in CLIMB UP

Acceptance

(Required)

I fully intend to participate in the CLIMB UP for Summer Research during Summer 2024 (Dates TBD)

Expectations

(Required)

I understand that program activities will be full-time during the week (Monday through Friday, 8:30AM-5PM or as determined by the mentor), and I will be expected to be present at all program-sponsored activities and/or in my assigned laboratory as directed by my mentor. Failure to attend or participate in all activities could result in my dismissal from the program and/or revocation of my stipend.

Housing

I will need on-campus housing during my Summer in Buffalo (and do not have an apartment or family home to stay in locally during the summer).

Transportation

(Required)

I will have a car or other transportation with me during the Summer.

Anything else we should know? Comments or Concerns?

Signature

(Required)