Incoming Student Application Form

Incoming Student Application Form

University of Utah

IGERT Training Program

in Nanobiosensors, Nanomaterials, and Microfluidics

Funded by the National Science Foundation

Description: Students interested in the IGERT training program should first apply to one of the participating departmental Ph.D. programs and then submit this form to the IGERT Program Coordinator. Students are strongly encouraged to contact one or more of the participating faculty members before applying. For full program details and a faculty listing, see the attached program description.

Funding:Incoming IGERT Fellows in good standing are guaranteed funding for the course of their Ph.D. study. The first two years of study are funded by the IGERT grant (which includes a stipend of $30,000 and full tuition coverage), and subsequent years are funded either by faculty research grants or other fellowships. IGERT Fellows are encouraged to seek external fellowship opportunities, such as the National Science Foundation Graduate Research Fellowships, the National Defense Science and Engineering Graduate Fellowships (NDSEG), or the U.S. Department of Energy Office of Science Graduate Fellowships.

Application checklist:

• IGERT Application Form including personal statement.
• Transcripts (photocopies or electronic copies are acceptable)
• Three letters of recommendation using the form supplied.
• Due date by March 23, 2012.

Application materials:must be received by March 23, 2012. Mail, e-mail or FAX them to:

Beverly J. Warner, Program Coordinator

Attn. IGERT Application

Nano Institute of Utah, 5527 SMBB

36 S. Wasatch Drive

Salt Lake City, UT84112

Phone: 801-587-1508

FAX: 801-585-0575

e-mail:

Incoming Student Application Form

University of Utah IGERT Training Program

in Nanobiosensors, Nanomaterials, and Microfluidics

Part I. Personal Information

Full Legal Name:

Mailing Address:

Permanent Address:

Daytime Phone: Evening Phone:

E-mail Address: Date of Birth:

Female or Male: U.S. Citizen or Permanent Resident:

Ethnicity (optional):

Part II. Education, Honors,and Experience

A. INSTITUTIONS ATTENDED

InstitutionMajor Dates Degree Earned GPA

B. STANDARDIZED TEST SCORES

Please list recent standardized test scores and test dates:

GRE Verbal: Quantitative: Analytical: Test Date:

TOEFL:

Other (specify):

Name:

C. RESEARCH EXPERIENCE

Research Topic AdvisorInstitutionTime Period

D. HONORS

Please list honors, awards, publications, conference presentations, extracurricular activities, and accomplishments that relate to the Nanobiosensors IGERT program.

E. OTHER EXPERIENCE

Please list other experiences such as teaching, volunteer work, or work experience that relates to the Nanobiosensors IGERT program.

Dates of ActivityNature/Description of Activity

Name:

Part III. Recommendations

Have 3 letters of recommendation sent on your behalf using the form attached. The evaluators should know your academic and technical capabilities especially as they pertain to proposed IGERT studies in nanobiosensors. List the individuals who will be writing letters for you:

Name, Title Institution/CompanyE-mail address

1. ______

2. ______

3. ______

Part IV. Transcripts

Please attach to the application form transcripts for all undergraduate and graduate institutions that you have attended. Unofficial or electronic copies are acceptable.

Part V. Educational Goals and Personal Statement

A. DEPARTMENTAL APPLICATION

To which University of Utah Department(s)have you applied? Have you been accepted?

B. RESEARCH INTERESTS

To support their integrative and multidisciplinary education, IGERT students will have two IGERT faculty co-advisors from different departments directing their Ph.D. research. Identify at least four IGERT faculty members from two or more departments whose research is of interest to you. At least one of the IGERT faculty must be from the department to which you have applied.

C. PERSONAL STATEMENT

Attach a one page statement describing your interest in interdisciplinary science and engineering research in nanobiosensors. Include a description of any relevant experience that you have and also describe your future professional goals.