URM Application 2014-2015 Undergraduate Research Mentoring Northern Arizona University The Undergraduate Research Mentoring (URM) program is a twelve-month program for sophomores and juniors in the life sciences. This program is funded by a grant from the National Science Foundation (NSF). Applications are due April 21, 2014. URM scholars are provided $15,000 in scholarships and wages plus training in life sciences, advising, and mentoring. URM research experiences vary with individual student interests. Over twenty faculty mentors have participated in the program and new mentors are added each year. See the URM website for more details (http://home.nau.edu/envsci/umeb.asp). The primary goals of the URM Program are: 1) Stimulate talented undergraduates from underrepresented groups* to pursue academic careers in life sciences fields. 2) Provide the mentoring, training, guidance, financial support, and encouragement necessary for students to successfully complete an independent research project and pursue graduate training in the life sciences. Student selection criteria: Applicants will be evaluated based on academic merit, quality of letters of recommendation, quality of essays, and match with the program goals. While all sophomore- and junior-level applicants will be considered, students from underrepresented groups* are especially encouraged to apply. Applications are due April 21, 2014. Applicants must be U.S. citizens in accordance with NSF requirements. *Underrepresented groups in the life sciences include: African American, Hispanic American, American Indian/Alaska Native, and Pacific Islander. URM Application 2014-2015 Contact Information: Name (Last, First, Middle initial)_________________________________________________ Permanent Address____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Campus Address______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Home Phone Number____________________Campus Phone Number___________________ Cell Phone Number______________________NAU Email address___________________________ Education History: Anticipated graduation date________________ Cumulative NAU G.P.A.___________________ Declared Major__________________________ Education History (most recent first) Institution Location Degree earned Cumulative G.P.A Do you plan to attend graduate school in the life sciences? Yes____No____ List current and past extracurricular activities (most recent first, include dates). __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ List current and past research experiences (most recent first, include dates). __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ URM Application 2014-2015 Employment History: List your current and past employers (most recent first, include dates and brief description of job duties). __________________________________________________________________________________________ __________________________________________________________________________________________ Supporting Materials: In what ways do you feel you are part of an under-represented group? _________________________________ __________________________________________________________________________________________ Please list any other relevant experience or qualifications. ____________________________________________ __________________________________________________________________________________________ Attach a two page (max.) typed essay. New applicants: your essay should describe both research questions in life sciences that most interest you, and your ambitions for your future in the life sciences. Current URM scholars: your essay should ALSO describe your progress in your research and why you want to continue in the program. Letters of Recommendation**: Letters should come from work or academic sources that can comment on your abilities and potential. If you are a current URM scholar, one of your letters must be from your faculty mentor (or both mentors if you are co-mentored). 1. Name____________________Postion___________________Phone #__________________ Email address___________________Address_____________________________________________ _____________________________________________ _____________________________________________ 2. Name____________________Postion___________________Phone #__________________ Email address___________________Address_____________________________________________ _____________________________________________ _____________________________________________ By signing, you verify all information within this application to be accurate. Signature ____________________________________ Date ______________ Print Name___________________________________ Checklist: All college transcripts included Two letters of recommendation included Application is complete and signed Essay is attached URM Application 2014-2015 **Instructions for recommenders: Please address the following in your letter of recommendation: 1. How long have you known the applicant and in what capacity? 2. Evaluate the applicant’s potential to conduct independent research while maintaining his/her other academic responsibilities. 3. How well does the applicant work and interact with others? Sign your letter and seal it in an envelope with your signature across the back. Give the letter to the applicant to include in their application packet.