North Carolina A&T State University

School of Agriculture & Environmental Sciences

Undergraduate Research Scholars Program (URSP)

(Complete form online, print and submit with original signatures)

Applicant’s Name: ______Banner Student ID No.: ______

Major: ______Classification:  JuniorSeniorCumulative GPA: ____

Local Address: ______

Telephone (No(s): ______

Preferred Mailing Address: ______

Email Address: ______

Are you a member of a professional organization in your field? Yes No 

If yes, list the organizations(s)

1. ______

2. ______

3. ______

NARRATIVE: Please answer the following questions on a separate sheets (not to exceed 3 pages). Responses must be typed and double-spaced.

  1. Give a brief description of your career interest and state your long-term (3-5 years) goals.
  2. Explain how participation in this program will assist you in achieving your career goals.

3.Briefly discuss what current issue(s) in your area of study you are most interested in researching, and elaborate why.

4.Have two (2) recommendations (form attached) completed by faculty and or an advisor and a copy of your official transcript sent by recommender to the URSP Committee at the address below. These letters should speak to ones observation of your abilities and skills and readiness for this program.

Signatures (complete the document on line, print and get original signatures.)

______

Faculty AdvisorURSP Faculty Mentor

Completed application should be sent byApril 15, 2016 to the following address:

Dr. Valerie L. Giddings

North Carolina A&T State University

Undergraduate Research Scholars Program

1601 E. Market Street, C. H. Moore Agricultural Research Station,Greensboro, NC 27411

Tel. (336) 285-4701 Fax (336) 334-7612

North Carolina A&T State University

School of Agriculture & Environmental Sciences

Undergraduate Research Scholars Program (URSP)

Recommendation Form

Please evaluate the undergraduate research applicant on the following qualities by placing an “x” in the appropriate space in the chart. If you are unable to, or have no basis for evaluating the applicant, please check “Not Observed.” Print form and complete.

Application’s Name ______Applicant’s Signature ______

Qualities / Outstanding / Good / Satisfactory / Fair / Poor / Not Observed
Communication Skills
Critical Thinking Skills
Initiative
Motivation
Dependability/Maturity
Departmental Service
University Service
Community Service

In the space below, or on a separate sheet, provide additional comments regarding this applicant’s skills, including written, oral, social, and research potential: ___________

______

______

Recommender’s Name & Title: ______

Relationship to Applicant:  Advisor Instructor Other ______

(Specify title/position)

Length of time applicant known to you and in what capacity did you observe the qualities rated above:

______

Do you  Highly Recommend Recommend Not Recommend

Please return this form by April 15, 2016to the following address:

Dr. Valerie L. Giddings

North Carolina A&T State University

Undergraduate Research Scholars Program

1601 E. Market Street, C. H. Moore Agricultural Research Station

Greensboro, NC 27411

Tel. (336) 285-4701 Fax (336) 334-7612