NSF Summer Research Experience for Undergraduates (REU)
Program in Cell, Developmental and Evolutionary Biology
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Online Application

Below is the application for the NSF REU program for Summer 2010. For information about the program see the Program Introduction. The application deadline is February 1, 2010.

Please enter the requested information below, check it, and then click the Submit Application button. All fields marked by an asterisk* are required. You will not be able to submit the application without completing them. Once you submit your application please print the confirmation page with your application id for your records.

Student Information

Name*:
Last
First
Middle Initial
Date of Birth*: (mm/dd/yyyy) Gender:   Male    Female
Place of Birth*:
Citizenship Status*: US Citizen Perm Resident
Ethnicity:
(check all that apply)		 African American Asian American Caucasian Filipino Latino Mexican American Native American Pacific Islander Puerto Rican Other
What was the first language(s) you spoke at home*: English English+Other Other 
Specify Other:

Contact Information

Email Address*:
Alternate Email Address:
Current Mailing Address: Permanent Address:
Street*: Street*:
Apt.: Apt.:
City*: City*:
State*: State*:
Zip Code*: Zip Code*:
Valid Until: (mm/dd/yyyy)    
Phone*: (###) ###-#### Type: (i.e. cell)
Alternate Phone: (###) ###-#### Type:

Academic Information

Current Undergrad Institution*:
Date Entered*: Status Fall 2010*:
Major*: Minor:
Expected Degree Date*: Degree Type*:
Cumulative GPA*: Major GPA *:
Include Community Colleges
Other Undergrad Institutions attended: Please list below by name, location, dates attended. Include Community Colleges.
1.
2.
3.
Name of High School from Which you Graduated, City, State and How Many Years Attended.
Please list extra curricular activities and affiliations since entering college.
Please list all non-research related work experience since entering college.
Briefly summarize your educational and long-term careers goals*:
Please indicate any pre-collegiate/collegiate preparatory programs in which you have participated: (check all that apply) MBRS   McNair   Howard Hughes   MARC/COR   EAOP   MESA/MEP   CAMP   Upward Bound   EOP   AGEP   Puente   Hugh Edmondson   PSP   CSP   BSP   BFP   PDP   Other  

Research Experience

Please list all current and previous research experiences (academic year and summer) and dates of participation:
1) Program/School: Dates:
  Dept: Faculty/PI Name:
  Email: Phone:
2) Program/School: Dates:
  Dept: Faculty/PI Name:
  Email: Phone:
3) Program/School: Dates:
  Dept: Faculty/PI Name:
  Email: Phone:
 
Do you intend to apply to graduate school*?
(select one)		 Yes   No
If yes, when do you anticipate applying to graduate school?
What is the highest degree objective you seek?(select one) Uncertain   Master's   Ph.D.   Ed.D.   Professional Doctorate (J. D., M.D., D.V.M., etc.)
Other 
 

Research Preference

Please consult the list of participating faculty and their web sites, then list four whose research is of particular interest to you. Feel free to include the basis for your choices in your statement of purpose below. This information will guide Professors Hayes and Weisblat in matching students accepted to the REU program with participating faculty. We cannot guarantee that you will be able to work in a particular research group, but will consult with you before making final assignments.
1st Choice: 2nd Choice:
3rd Choice: 4th Choice:

Statement of Purpose*

This Berkeley NSF Research Experience for Undergraduates in Biology is designed for undergraduates with an interest in pursuing future study toward an graduate degree in the biological sciences. In your statement of purpose below, be sure to include the following: previous research experience (if any), reasons for applying to the program, how your participation in the program may assist in meeting your future professional goals, and specific research topics you are interested in pursuing during the summer.

Family Information

Father's Name: (Last, First, and Middle)
Highest Grade Completed :
College Degree(s) Earned : Bachelor's  Master's 
Doctorate  None 
Mother's Name: (Last, First, and Middle)
Highest Grade Completed :
College Degree(s) Earned : Bachelor's  Master's 
Doctorate  None 

Financial Information

Are you currently eligible to receive financial aid
at your home institution?* 		Yes  No 
May we share your application with other summer
programs on the Berkeley campus? 		Yes  No 

How did you learn about the NSF REU Program? (check all that apply)

 

 

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Last Modified November 16, 2009