Student Application for Orthopaedic Research

Hello, we are excited that you are interested in helping us with research in the Department of Orthopaedic Surgery and Sports Medicine. Please complete this application to aid us in helping you have a successful research experience. You are encouraged to review the application prior to completing it. You will be required to complete the application in its entirety. You cannot stop and save just a portion of the application. Note at the end of the application you will be asked to upload your CV or resume, and training certificates for IRB803 – IRB Training and PRV800 – HIPAA General Awareness.

If you have questions regarding the application process, please contact Dr. MaryBeth Horodyski by email horodmb@ortho.ufl.edu.

Contact Information

First

Middle

Last

E-mail Address

Cell Phone Number

Student Information

Are you a UF Student?

Yes

Have you completed observation hours in our department?

Whom did you observe with?

UF ID

Please enter your UFID# in the format of 01234567 (no hyphens/dashes).

What university/college are you attending?

What is your major or undergraduate degree major?

Current Education Level

GPA

Research Interests

Please select all areas that are of interest, and then drag/drop to rank them in the order of your preference.

	Your area(s) of interest in orthopaedics:	Weight
Hand and Upper Extremity	Hand and Upper Extremity	Weight for Hand and Upper Extremity
Foot and Ankle	Foot and Ankle	Weight for Foot and Ankle
Sports Medicine	Sports Medicine	Weight for Sports Medicine
Pediatric Orthopaedics	Pediatric Orthopaedics	Weight for Pediatric Orthopaedics
Orthopaedic Oncology	Orthopaedic Oncology	Weight for Orthopaedic Oncology
Spine	Spine	Weight for Spine
Orthopaedic Trauma	Orthopaedic Trauma	Weight for Orthopaedic Trauma
Adult Arthroplasty (Hip and Knee)	Adult Arthroplasty (Hip and Knee)	Weight for Adult Arthroplasty (Hip and Knee)

Please select all areas that are of interest, and then drag/drop to rank them in the order of your preference.

Please write a statement of interest for the UF Health Orthopaedic Surgery and Sports Medicine research opportunity.

Describe why you are interested in this research opportunity.

Please describe any research-related experience below.

What research activities have you participated in?

Protocol development

IRB submission

Clinical data collection

Data analysis

Manuscript writing

NONE

Select all that apply

What are your goals or what do you want to accomplish while working on research in the Department of Orthopaedic Surgery and Sports Medicine?

Have you talked with an orthopaedic physician (faculty member at UF) about a research project?

Who was the orthopaedic faculty member?

What was the research topic you discussed?

Requested Documentation

Resume/CV

Please attach your resume/CV.
One file only.
60 MB limit.
Allowed types: odf, pdf, doc, docx, ppt, pptx.

PRV800 – HIPAA General Awareness Form

Please complete the following HIPAA related form(s):

PRV800 – HIPAA General Awareness

Unlimited number of files can be uploaded to this field.
60 MB limit.
Allowed types: gif, jpg, jpeg, png, heic, bmp, eps, tif, pdf, doc, docx.

IRB803 – IRB Training Form

Please complete/upload the following IRB related form(s):

IRB803 – IRB Training

Unlimited number of files can be uploaded to this field.
60 MB limit.
Allowed types: gif, jpg, jpeg, png, heic, bmp, eps, tif, pdf, doc, docx.

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Department of Orthopaedic Surgery and Sports Medicine

College of Medicine

Student Application for Orthopaedic Research

Department of Orthopaedic Surgery and Sports Medicine

College of Medicine

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