RESEARCH EXPERIENCES FOR UNDERGRADUATES
IN PLANT AND PLANT-PATHOGEN CELL BIOLOGY
The Center for Plant Cell Biology
University of California, Riverside
JUNE 13 – AUGUST 19, 2016
PLEASE COMPLETE THIS FORM ELECTRONICALLY AND
SUBMIT TO: thomas.eulgem@ucr.edu.
APPLICATIONS ARE DUE
February 26, 2016
I.
You may submit electronic or hard copies of
transcripts. If mailing hard copies, send to:
Dr. Thomas Eulgem
CEPCEB REU Program
Dept. of Botany and Plant Sciences
University of California
Riverside, CA 92521
PERSONAL
Name:
Local Address:
Street
City
State
Zip
Street
City
State
Zip
Permanent
Address:
Phone number:
A long-term number, such as your cell phone, is
preferable to a temporary apartment/dorm number
Male
Gender:
Female
Ethnicity (voluntary
Information):
Date of Birth:
II.
E-mail address:
A long-term address, such as gmail, is preferable
to a temporary university address
Eligibility for
US Citizen
program (check
Permanent
one):
Resident
Click to select
EDUCATION
High School:
HS Graduation Date:
Name of College/University
If you are now in a community college, do
you plan to transfer to a 4-year university?
Expected Degree:
Current Year in College:
GPA in science/math
courses:
Yes
No
When?
Expected Graduation Date:
Click to select
Current Major:
Overall GPA:
III.
COLLEGE MATH AND SCIENCE COURSEWORK
Please list all college science and math courses that you have completed and those in which you are
now enrolled. Also, provide us with a copy of your college or university transcripts (they do not need to
be official at this stage; your unofficial print-out would be fine for now).
Course Name and Number
Letter
Grade
Received
Semester/Yr.
Taken
Taken at which Institution
If your GPA in math and science courses is lower than 3.0, please provide a short explanation.
IV.
REFERENCES
List the names, email addresses and phone numbers of two faculty members that know your abilities
and interests. The REU program will contact them.
Name
Email
Phone
V.
DESCRIBE YOUR INTEREST IN LABORATORY SCIENCE. For example, you might answer the
following questions. Do you have any previous experience in laboratories? Do you have a special
interest in plants or plant pathogens? What are your long-term goals? You can paste in your answer,
or append a separate document to this form.