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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 Fall Timeline

  • Applications Open: July 29 – August 14 

  • Selections: August 15 – August 20 

  • Notifications: August 21 - August 31 

  • Program Instruction: September 21 - November 21

  • Saturday Lab
    Morning Session 9:00am-Noon or 
    Afternoon Session 11:30am-2:30pm
    and
    One virtual weekday session
    6:00pm-8:00pm   


Please complete the form below as thoroughly as possible.

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Student Information

Have you previously participated in a LIFT-VA instructional cohort?
New Student — I have not participated in a previous cohort.
Returning Student — I participated in at least one previous cohort.
Birthday
Month
Day
Year
Gender
Citizenship and Residency
Are you Latinx or Hispanic?
Please select all ethnicities with which you identify

Apartment or Suite #

State
County

Education Information

Current Degree Program
Major / Area of Study
What will your Academic Classification be at the start of the LIFT-VA Instructional Cohort?
What best describes your current cumulative GPA ?

Please select the range that best matches your current grades. You do not need to provide your exact GPA.

Emergency Contact

Preferred Method of Contact:

Campus / Class Selection

Campus Location
Class Time Selection
Virtual Instruction Class Date (1st Choice)
Monday (6 p.m. - 8 p.m.)
Tuesday (6 p.m. - 8 p.m.)
Wednesday (6 p.m. - 8 p.m.)
Thursday (6 p.m. - 8 p.m.)
Virtual Instruction Class Date (2nd Choice)
Monday (6 p.m. - 8 p.m.)
Tuesday (6 p.m. - 8 p.m.)
Wednesday (6 p.m. - 8 p.m.)
Thursday (6 p.m. - 8 p.m.)
Instructional Cohort #2 will begin on September 21 and conclude on November 21. Are you able to commit to participating for the full duration of this instructional cohort?
Yes
No

Interest Questions

Have you conducted wet bench laboratory research or experiments?
Yes
No
Have you authored or co-authored a peer-reviewed publication?
Yes
No

To better assess your application, you can upload the following documents:

  • Resume / CV

  • Unofficial Transcript

  • Letter of Recommendation (2 Max)

  • Personal Statement

Consent & Agreement

How did you hear about LIFT-VA?
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