Student Application Form

SDSU MHIRT Application

Fill out the MHIRT form online.

In an effort to make applying to MHIRT an easier task we decided to move from the hard-copy form to a full online form. First let us thank you for your interest in the MHIRT program and once the application is complete it will get sent for final approval and you will be notified through e-mail regarding the status of your application. Please fill out the form as indicated and all fields are required unless instructed otherwise.

Thank you again, for filling out the application.

Important! Please write a personal statement on a separate piece of paper (typed, 12 point, double-spaced) telling us about yourself, explaining why you decided to apply to this program and how you expect that the experience of doing research at an international site might help your career development in the biomedical sciences. Remember to get a faculty member to fill out the “Faculty Recommendation Form” to complete your registration and mail this with a copy of your transcript as well as the personal statement by way of email to Drs. Dena Plemmons ( and Robert Pozos ( Dr. Plemmons’ snail mail address is listed below in the event you wish to also send it in that manner.

Dr. Dena Plemmons

MHIRT Administrative Coordinator

San Diego State University 

5500 Campanile Drive 

San Diego, Ca 92182-4616

Phone: 619-594-5938 | Fax: 619-594-4109

Good Luck!