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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.


2027 Spring Timeline

  • Applications Open: October 19 – November 29

  • Selections: November 30 - December 4

  • Notifications: December 7 - 18

  • Program Instruction: February 10 - April 17

  • One Saturday In-person Lab Session
    AM Session 9:00am-Noon
    Mid-day Session 11:30am-2:30pm
    PM Session 2:00pm-5:00pm
    and 
    One Weekday Virtual Session
    Wednesday or Thursday
    6:00pm-8:00pm 

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Program format: one 3 hour Saturday Lab and one 2 hour virtual class, over eight weeks.


Please complete the form below as thoroughly as possible.

Student Information

Have you previously participated in a LIFT-VA instructional cohort?
New Student (Level 10) — I have not participated in a previous cohort.
Returning Student (Level 20) — 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 (1st Choice)
Campus Location (2nd Choice)
Level 20 Class Time Selection
Level 10 Prince William Class Time Selection
Level 10 Loudon Class Time Selection
Instructional Cohort #3 will begin on February 10 and conclude on April 17. 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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