Application for NSF-REU Summer Research Program
Due Date: February 1, 2008
We strongly encourage you to prepare your longer statements in a word processing program on your computer and then paste them into the box provided.
Please fill in all fields in this form. For fields that do not apply to you, enter "NA".
Personal Background
Title:
Mr.
Mrs.
Miss
Ms.
First Name:
Last Name:
Nickname:
Email Address:
Birthdate:
United States Citizen:
Yes
No
Gender:
Male
Female
Ethnicity:
American Indian or Alaskan Native
Pacific Islander
African American, not Hispanic
Hispanic
Caucasian/White not of Hispanic origin
Other
I do not wish to provide this information
Other Ethnicity:
Current Address
Street Address:
Street Address (2):
City:
State or Province:
Zip Code:
Phone Number:
Last date you can be contacted at your current phone number:
Permanent Address
Click here if your permanent address is the same as your current address:
Street Address:
Street Address (2):
City:
State or Province:
Zip Code:
Phone Number:
Education
Undergraduate College or University:
City of College or University:
State or Province of College or University:
Major:
Currently enrolled as:
Freshman
Sophomore
Junior
Non-graduating Senior
Date Spring term ends:
Date Fall term begins:
Anticipate taking:
GRE Exam
MCAT Exam
When?
Do you plan to enroll in:
Graduate School
Medical School
When?
Have you participated in undergraduate research previously?
Yes
No
If yes, when and where?
College Science Courses Already Taken:
Cumulative GPA:
Science GPA:
Science Credits Taken:
Please List: Currently Enrolled Courses:
Please List: Courses Taking Spring 2008:
References
Provide the names of two chemistry and/or biology professors who know you well and will submit letters of recommendation.
First Reference
Title:
Dr.
Mr.
Mrs.
Miss
Ms.
First Name:
Last Name:
Email:
Second Reference
Title:
Dr.
Mr.
Mrs.
Miss
Ms.
First Name:
Last Name:
Email:
Desired Research Advisors
List the three professors in our program whose research most interests you and whose group you would like to join for the summer.
View the list of Mentors
(opens a new window)
Choice One:
Choice Two:
Choice Three:
Explain why you have chosen these mentors. What about their research methods interests you?
What do you hope to gain from a summer research experience in our REU program? How might the Summer research experience help you to attain your career goals?
Please submit an application only once. If you have a major change to something after you submit, please contact us at
reubiochem@colostate.edu
.
