2015 APPLICATION
NSF-REU Summer Undergraduate Research Program
Department of Biological Sciences
University of Notre Dame
Name ______
Date of Birth
Are you a U.S. Citizen/Permanent resident? __ yes __ no
School you now attend: ______
Current Address: ______
Current Phone: ______Cell Phone:______
Current Email Address: ______
Home Address: ______
Home Phone: ______
Sex: __ Male __ Female
Ethnic Background (Optional):
Cuban American Native American
Puerto Rican American Mexican American
Black (non-Hispanic) Asian
Native Pacific Islander ___ White
Your Major ______
Overall GPA __ Science & Math GPA _____
Current Class Standing (circle one): Freshman, Sophomore, Junior, Senior
Did you or will you take the MCAT? ______
Did you or will you take the GRE? ______
What degree will you seek? Circle all that apply.
M.S. Ph.D. M.D M.D./Ph.D other ______
Are you a first generation college student? YES NO
General Area of Interest (i.e. Biochemistry, Molecular Genetics, Physiology, Organic
Chemistry, etc.)
______
Specific Area of Interest ______
Choice of 3 Faculty Mentors with whom you'd like to work (from pages supplied):
______
List of Science and Math Courses you have taken and the grades you received.
List the Science and Math Courses you currently are taking.
List the lab techniques that you are familiar with.
How did you hear about our program?
Does your school have a Master’s program in Biology? ______
Does your school have a Ph.D. program in Biology? ______
***********
Applications should be emailed by February 3, 2015
Email this application form along with an official transcript and a cover letter (explaining your long term career goals, why you wish to participate in this program, and your research interests and experiences, and your strengths you can bring to the program). Have two science faculty who are familiar with your work email letters of recommendation directly to the email address below.
Email Application Materials to:
Official transcripts or application materials can be mailed to the address below if needed.
Michelle A. Whaley, Ph.D.
REU Program Director
University of Notre Dame
Department of Biological Sciences
Notre Dame, IN 46556
(574) 631-9343,
(applications must be emailed to , not )