Applications must be postmarked no later than February 28th, 2010

Late applications will be considered if we have space remaining in the program.

 

Application Form for Summer Undergraduate Research Program in Novel Advanced Materials and Processing with Applications in Biomedical, Electrical and Chemical Engineering

NSF Research Experiences for Undergraduates  -  (2010)

Departments of Bio-, Chemical, Electrical and Mechanical Engineering

University of Illinois at Chicago

 

Name                                                                           SS or ID#                                             ______

                Last                                            First                            MI

Mailing Address                                                                                                                        ______

                                                                                                            (       )                           ______

City                                                         State                        Zip                                           Phone

Permanent Address                                                                                                                   ______

                                                                                                (       )                                       ______

City                                                         State                                        Zip           Phone

E-Mail Address Primary                                    ______                        Other                                                   

College or University                                                                 Major                                       ______

Cumulative GPA:                            Expected Graduation Date:              Month               ______Year     ______

Do you plan to attend graduate school? M.S.     Ph.D.     M.D.      Other             No    Unsure    

U.S. Citizenship or Permanent Residency is required.

List Employment Record (if any; begin with current): 

Employer                                               Dates                                      Position                                 Nature of Work                   

                                                                                                                                                ______

                                                                                                                                                ______

Academic Honors or Awards                                                                                                     ______

If program dates conflict with your academic schedule, what dates would you be available? ____________                                                         

Applicant’s checklist:

·      This application

·      Official transcript of your academic record

·      Two reference letters

·      Brief narrative that discusses your interest in this program, and your long-term career goals

Please provide a feel for your background and your interest in research - what projects have you been involved with in the past if any; do you prefer experimental or theoretical work.  Applications from students who are members of underrepresented groups are strongly encouraged.

Optional:           Ethnicity                                               Gender                                    

 

I certify that all information is valid and true to the best of my knowledge.

                                                                                                                        __________________

Signature of Applicant                                                                                             Date

 

Send Application Material to 2010 REU-NSF Site Program at UIC, Prof. C. G. Takoudis, 851 S. Morgan St., SEO 218, Chicago, IL 60607-7052 or submit it to reunsf@uic.edu

 

The University of Illinois at Chicago is an equal opportunity / affirmative action institution