Contact Information
First Name:
Last Name:
Email
Home:
School:
Web Page URL:
Phone
Day Phone:
Home:
School:
Fax:
Mailing Address on Febuary 20,2009
Street Address:
City:
State / Province:
Zip / Postal Code:
Country:
Home / Permanent Address
Street Address:
City:
State / Province:
Zip / Postal Code:
Country:
Date Submitted
GPA
Home Institution:
Expected Date of Graduation:
Honors & Awards:
Other Relevant Experience:
Special needs of participant that should be considered upon acceptance into the program (optional):
If you would like to work with a specific Microbiology Faculty Member, please enter that person's name here:
How did you learn about the REU program in our department?
Departmental web site
Posted flyer
Professor
e-mail message
NSF web site
other (please specify)
Citizenship status (In accordance with National Science Foundation (NSF) policies, participants must be citizens or permanent residents of the United States or its possessions.)
Citizen of U.S. or its possessions
Permanent resident of U.S. or its possessions
Demographic information (Provision of information regarding ethnic origin and gender is optional. Such information is gathered to comply with NSF reporting requirements only. Neither provision of the requested information nor failure to provide such information will adversely influence admission to the REU program.)
Ethnic origin:
Native American
African American
Hispanic
Asian or Pacific Islander
White (non-Hispanic)
Multiracial
Sex:
Male
Female
Highest degree offered by home institution:
Associate's degree
Bachelor's degree
Master's degree
Doctoral degree
Indicate how each of the following post-graduate career tracks reflects your current goals:
Other
Indicate your current interest in preparing for and taking the following
examinations for post-graduate placement:
Make sure you tell us about your career goals and research interests. Please note: This is a key section of the application. Please take the time to write a clear essay. Prepare this section in a text file ahead of time and then "cut and paste" your essay into the box below.
Provide a brief description of your career goals and your area of research interest (e.g. ecology/evolution; infectious diseases; host-microbe interactions; microbial development; bioremediation/biotechnology; physiology/biochemistry; molecular genetics; etc.) Also, describe previous laboratory research experiences. Limit essay to the space provided.
*Applications received after Febuary 20,2009 will be considered if spaces are still available.