College / University Application

Thank you for your interest in LIFT-VA.

This application is for students currently enrolled in college or university who are interested in participating in the LIFT-VA higher education pathway, including lab training, train-the-trainer preparation, and professional development opportunities.

2026 Timeline

Applications Open: May 4 – June 4
Selections: June 5 – June 7
Notifications: June 8
Program Instruction: June 22 - August 14
Monday and Wednesday
Morning Cohort 9:00am-1:00pm
Afternoon Cohort noon-4:00pm

Please note: Applications are reviewed on a rolling basis. If you miss the deadline for the first cohort, your application may still be retained and considered for a future cohort.

Please complete the form below as thoroughly as possible.

General Information

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Gender

National ID / Student ID (Required)

Citizenship and Residency

Multi-line address

Country/Region

Address

City

Zip / Postal code

Emergency Contact

Name

Relationship

Phone

Email

Education Information

College / University Name

Current Degree Program

Major / Area of Study

Are you an ESL student?

Current Year in School

Current GPA

Expected Graduation Date

Month

Day

Year

STEM Courses Completed

Teaching / Leadership Courses

Program Interest

Why are you applying to the LIFT-VA Program?

What interests you most about life sciences, biotechnology, STEMM, or workforce development?

Experience / Background

Do you have relevant experience with the following?

Have you ever led a group of students?

Yes

No

If yes, describe experience.

Do you have experience working with K–12 students?

Yes

No

If yes, what age groups have you worked with?

Do you have prior lab experience with any of the following?

Relevant academic, lab, research, teaching, mentoring, or leadership experience

Document Uploads

Resume / CV
Unofficial Transcript
Letter of Recommendation (1–2)
Personal Statement
ID Verification Document

LinkedIn profile or portfolio link (optional)

Please rate yourself on a scale of 1–5 (1 = Least Experienced, 5 = Most Experienced).

How would you rate your communication skills?

How would you rate your ability to teach or instruct others?

How would you rate your technical and/or STEM-related skills?

How would you rate your experience with classroom management or leading groups?

Availability

Which lab location would you like to attend?

Loudoun Campus

Manassas Campus

Open to attending at either campus.

Are you available for the entire 8 week session (June 22 – August 14)?

Yes

No

Weekly Availability (Days/Hours)

Start Date Availability

Commitment Duration:

Semester

Full Academic Year

Summer Only

Additional Information

How did you hear about LIFT-VA?

Is there anything else you would like us to know?

Agreement

Media Release Consent

I allow photos / videos of myself to be taken for program use.

Program Participation Agreement

I agree to program requirements.

Background Check

I understand that in order to be considered for an instructor role I will be required to undergo a background check.

Acknowledgement

I understand acceptance is conditional

Authorization

I certify that all information provided is accurate and complete.