2016 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.Dother ______

Are you a first generation college student? YESNO

General Area of Interest (i.e. Biochemistry, Molecular Genetics, Physiology, Organic

Chemistry, etc.)

______

Specific Area of Interest______

Choice of 3 Biology Faculty Mentors with whom you'd like to work (from pages supplied or departmental web site):

______

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 are familiar to you.

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, 2016

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, why you want to work with the professors you listed, 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 recommendationdirectly 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 )