2010

THE   PROGRAM
The   Elizabeth   City   State   University   Support   Program   for   Academic   and   Research   Enhancement   (E ‐ SPARE)   is   established   as   a   Minority   Biomedical   Research   Support   (MBRS) ‐ Research   Initiative   for   Scientific   Enhancement
(RISE)   program.
The   goal   of   this   program   is   to   increase   the   competitiveness   of   minority   students   for   entry   into
Ph.D.
programs.
DEADLINE:
November   12,   2009
UA
Submit   applications   to:
Shanta   Armwood ‐ Outlaw
(252)   335 ‐ 3375
Jimmy   Jenkins   Science   Center
Room   306
ELIGIBILITY:
Applicants   must   be   US   citizens   or   Permanent   Residents   who   are   US   minorities.
Applicants   must   be   at   least   rising   juniors,   preferably   scholars   of   the   ECSU   Louis   Stokes   Alliance   for   Minority   Participation   (LSAMP)   program.
A   minimum   grade   point   average   of   3.0
is   required   of   each   applicant   to   ensure   competitiveness.
Applicants   must   demonstrate   a   strong   interest   in   science   and   research   as   well   as   a   desire   to   do   independent   research.
Applicants   must   also   demonstrate   a   high   potential   for   high   academic   achievement   in   biomedically   related   fields.
Applicants   may   be   from   any   of   the   following   majors:    Chemistry,   Physics,   Biology,   Sociology,
Psychology,   and/or   Mathematics   (NOT   CONSISTENT   WITH   WEBPAGE   INFORMATION,   WHICH   LISTS   SOCIAL
WORK   INSTEAD   OF   MATHEMATICS) .
All   applicants   must   demonstrate   academic   ability,   intellectual   curiosity   and   receive   the   positive   recommendations   of   their   campus   liaisons.
The   program   WILL   NOT   accept   any   PRE ‐
MED,   PRE ‐ DENTAL,   or   PRE ‐ PHARMACY   majors.
APPLICATION   PROCEDURES:
The   following   supporting   documents   are   required   of   all   E ‐ SPARE   applicants:
✦
A   personal   statement   which   includes   the   applicant’s   career   aspirations   and   goals   (Minimum   of   1000   word
count).
✦
A   curriculum   vita   which   clearly   depicts   the   applicant’s   education,   publications,   projects,   awards   and   work
history.
✦
Official   transcripts   of   all   college   courses   completed   and   in   progress.
✦
Three   (3)   letters   of   recommendation   from   individuals   who   have   directly   observed   the   applicant   (in   school   or   at   work)   and   can   give   an   evaluation   in   one   or   more   of   the   following   areas:   character,   research   skills,   familiarity   with   laboratory   techniques   and   equipment,   and   ability   to   learn   in   a   work   setting.
✦
Academic   plan   of   study   to   include   post   graduate   study.
YPE OR PRINT CLEARLY IN DARK INK

Instructions:    Please   type   or   print   legibly .
NAME   _____________________________________________________   SS# _________________________
LOCAL   ADDRESS   _________________________________________________________________________
( Until   __________________)
City   ____________________________________________   State ____________________________
Zip   _____________
TELEPHONE   (           )   ______________________   CELL   (           )   _________________________
EMAIL   ADDRESS   ______________________________________________________________________________
PERMANENT   ADDRESS   _________________________________________________________________________
City   ____________________________________________   State _____________________
Zip   _____________
COUNTY   _________________________________________________________________________
CITIZENSHIP/RESIDENCY
❐
US   Citizen
❐
Permanent   Resident   (Provide   Identification   Number)   ___________
( Proof   must   be   copied   and   attached )
ETHNICITY
❐ Asian   American
❐
❐   Native   American
Black/African   American        ❐   Pacific
Islander
❐   Hispanic       ❐   Other   (Specify) ______________________
CURRENT   CLASSIFICATION
❐
Sophomore
❐
Junior
MAJOR   _____________________________   TOTAL   NUMBER   OF   HOURS   COMPLETED   ________
CUMULATIVE   GPA   ___________   SCIENCE   GPA   ________________________
EXPECTED   DATE   OF   GRADUATION   ___________

Please   complete   the   following   sections.
PLANS   FOR   2010   ______________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
ACADEMIC   HONORS
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
EXTRACURRICULAR   ACTIVITIES
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
LETTERS   OF   RECOMMENDATION
You must provide three (3) letters of recommendation on the forms provided. These should be from two professionals who are familiar with your academic and/or research experience and someone who can describe your character. The letters should be attached to this application in sealed envelopes or mailed directly from the person providing the letter of recommendation.
Please specify who will be providing these letters below:
Name:   __________________        Name:   ______________________          Name:   ________________________
Position/Title:   _____________     Position/Title:   ________________         Position/Title:   __________________
Address:   _________________     Address______________________           Address_______________________
_________________________     ____________________________            ______________________________
Telephone:   _______________     Telephone:_____________________        Telephone:   ____________________
Fax:     _____________________    Fax:   ___________________________          Fax:   __________________________
E ‐ mail____________________     E ‐ mail_______________________            E ‐ mail_________________________

FINAL   CHECKLIST
Please   verify   that   you   have   included   all   required   material:   o Completed   Application   Form    o   Proof   of   Citizenship/Residency   o Transcripts   o Three   Letters   of   Reference   o Curriculum   Vita   o Personal   Statement    o Academic   Plan   of   Study   (including   postgraduate   study)
™ I,   _______________________________________________,   DO   HERE   BY   UNDERSTAND   THAT   ALL   MATERIALS
SUBMITTED   WITH   THIS   APPLICATION   WILL   NOT   BE   RETURNED   AND   ARE   FOR   THE   CONFIDENTIAL   USE   OF   THE
ECSU   SUPPORT   PROGRAM   FOR   ACADEMIC   AND   RESEARCH   ENHANCEMENT   (E ‐ SPARE)   PROGRAM   IN
CONNECTION   WITH   MY   ACCEPTANCE   TO   THE   PROGRAM.
I   HAVE   ANSWERED   ALL   QUESTIONS   HONESTLY   AS
DIRECTED   AND   ENCLOSED   ALL   OF   THE   REQUIRED   SUPPORTING   DOCUMENTS.
TO   ENSURE   THAT   OTHER
APPLICANTS   RECEIVE   FULL   CONSIDERATION,   I   WILL   NOTIFY   THE   PROGRAM   COMMITTEE   IMMEDIATELY   IF   I
WITHDRAW   MY   APPLICATION   FOR   ANY   REASON.
PRINTED   NAME   _______________________________________   DATE   ___________
SIGNATURE   __________________________________________

ECSU Support Program for Academic and Research Enhancement (E-SPARE)
Department of Chemistry, Geology, & Physics
Elizabeth City State University
Elizabeth City, NC 27909
Professional Recommendation
To be completed by applicant:
Applicant’s Name _____________________________________________
Soc. Sec. # _____________________________________
I [ ] have [ ] have not waived my choice to review this completed letter of recommendation.
Applicant’s Signature __________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
This recommendation form should provide a candid evaluation of the applicant’s academic and/or research capabilities.
Please include any pertinent information, as well as your opinion on the student’s prospects for obtaining an advanced degree in a research/professional career, and if you will discriminate between the applicant’s strong and weak characteristics. Your prompt response will be appreciated since incomplete applications will not be evaluated, and acceptance into this program is time-sensitive. Please return recommendation in a sealed envelope with your signature across the seal.
Thank you for your cooperation.
How long have you known the applicant? ______________ In what capacity? ____________________
Your evaluation of the applicant: (Separate page(s) may be attached)
Please rate the applicant in comparison with other students you have known in the past:
Upper 3% Upper 10% Upper 25% Upper 50%
Integrity
Dependability
Writing Skills
Creativity
Interest in
Research
Laboratory
Techniques
Ability to work in groups
Perseverance
In your opinion, is this applicant likely to pursue an advanced degree and a research career in the biomedical/behavioral sciences? (circle one) YES NO
Name: __________________________________ Position/ Title: _________________________
Address:___________________________________________________________________________________________
__________________________________________________________________________________________________
Telephone:_____________________ Fax: __________________ E-mail:___________________
Signature_______________________________________________ Date: __________________

ECSU Support Program for Academic and Research Enhancement (E-SPARE)
Department of Chemistry, Geology, & Physics
Elizabeth City State University
Elizabeth City, NC 27909
Professional Recommendation
To be completed by applicant:
Applicant’s Name _____________________________________________
Soc. Sec. # _____________________________________
I [ ] have [ ] have not waived my choice to review this completed letter of recommendation.
Applicant’s Signature __________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
This recommendation form should provide a candid evaluation of the applicant’s academic and/or research capabilities.
Please include any pertinent information, as well as your opinion on the student’s prospects for obtaining an advanced degree in a research/ professional career, and if you will discriminate between the applicant’s strong and weak characteristics. Your prompt response will be appreciated since incomplete applications will not be evaluated, and acceptance into this program is time-sensitive. Please return recommendation in a sealed envelope with your signature across the seal.
Thank you for your cooperation.
How long have you known the applicant? ______________ In what capacity? ____________________
Your evaluation of the applicant: (Separate page(s) may be attached)
Please rate the applicant in comparison with other students you have known in the past:
Upper 3% Upper 10% Upper 25% Upper 50%
Integrity
Dependability
Writing Skills
Creativity
Interest in
Research
Laboratory
Techniques
Ability to work in groups
Perseverance
In your opinion, is this applicant likely to pursue an advanced degree and a research career in the biomedical/behavioral sciences? (circle one) YES NO
Name: __________________________________ Position/ Title: _________________________
Address:___________________________________________________________________________________________
__________________________________________________________________________________________________
Telephone:_____________________ Fax: __________________ E-mail:___________________
Signature_______________________________________________ Date: __________________

ECSU Support Program for Academic and Research Enhancement (E-SPARE)
Department of Chemistry, Geology, & Physics
Elizabeth City State University
Elizabeth City, NC 27909
Professional Recommendation
To be completed by applicant:
Applicant’s Name _____________________________________________
Soc. Sec. # _____________________________________
I [ ] have [ ] have not waived my choice to review this completed letter of recommendation.
Applicant’s Signature __________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
This recommendation form should provide a candid evaluation of the applicant’s academic and/or research capabilities.
Please include any pertinent information, as well as your opinion on the student’s prospects for obtaining an advanced degree in a research/ professional career, and if you will discriminate between the applicant’s strong and weak characteristics. Your prompt response will be appreciated since incomplete applications will not be evaluated, and acceptance into this program is time-sensitive. Please return recommendation in a sealed envelope with your signature across the seal.
Thank you for your cooperation.
How long have you known the applicant? ______________ In what capacity? ____________________
Your evaluation of the applicant: (Separate page(s) may be attached)
Please rate the applicant in comparison with other students you have known in the past:
Upper 3% Upper 10% Upper 25% Upper 50%
Integrity
Dependability
Writing Skills
Creativity
Interest in
Research
Laboratory
Techniques
Ability to work in groups
Perseverance
In your opinion, is this applicant likely to pursue an advanced degree and a research career in the biomedical/behavioral sciences? (circle one) YES NO
Name: __________________________________ Position/ Title: _________________________
Address:___________________________________________________________________________________________
__________________________________________________________________________________________________
Telephone:_____________________ Fax: __________________ E-mail:___________________
Signature_______________________________________________ Date: __________________