Biological Discovery in Woods Hole Undergraduate Woods Hole, MA

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Biological Discovery in Woods Hole Undergraduate
Summer Program at the Marine Biological Laboratory,
Woods Hole, MA
Application 2010
DEADLINE: Please submit all application forms, transcripts, and evaluations by April
1, 2010 for priority consideration
Return all application documents to: [email protected]
Name, Last: ________________________First:_____________________Middle
Initial:_________
Participants will be supported with National Science Foundation funds and must be
citizens or permanent residents of the United States or its
possessions. Can you, after acceptance, verify your U.S. citizenship or permanent
residency status? [ ]Yes [ ] No
Social Sec. #:__________________________
INSTITUTIONAL ADDRESS:
HOME ADDRESS:
________________________________________ ________________________________________
________________________________________ ________________________________________
________________________________________ City:__________________________State:___________
City:___________________________State:__________
Country:
Country:
Telephone : _______________________________
Postal Code:________
Telephone : _______________________________
Email:___________________________________
E-mail:__________________________________
PLEASE INDICATE WHICH MAILING ADDRESS IS PREFERRED
(Note – most information will be communicated by e-mail unless you indicate
otherwise)
EDUCATION
Postal Code:________
Current Institutional
Affiliation:_____________________________________________________
________________________________________________________________________
_______
Current Status: Freshman____ Sophomore____ Junior____ Senior____ Other
____(please explain)
Degree earned or expected:________ Year:_________ Field of
Concentration:_________________
How did you learn about this
course:____________________________________________________
______________________________________________________________________________________
________
SUPPORT MATERIALS: All materials listed must be enclosed submitted order for
your application to be complete.
O RESUME OR CV
O TRANSCIPTS (UNOFFICIAL OK)
O ESSAYS (maximum one page each describing 1) reasons for wanting to participate in
the program 2) their expectations of the program 3) and specific research areas or
mentors of interest (if any)
O SUMMARY OF RESEARCH EXPERIENCE (IF APPLICABLE)
O STATEMENT OF YOUR EXPECTATIONS FOR THE PROGRAM (What you
anticipate this experience to be like and what you expect to gain from attending.)
EVALUATIONS: Applicants should request written evaluations from two individuals
familiar with their academic and research background and goals.. Sealed evaluations may
be submitted with other application materials by the candidate, or sent directly to the
course directors by the evaluator.
Please provide the names and institution of the individuals whom you will ask to submit
evaluations
Name:__________________________________Institution:_______________________
___________________ Email:_________________________________
Name:__________________________________Institution:_______________________
___________________ Email:_________________________________
OPTIONAL INFORMATION (For U.S. Citizens and Permanent Residents only) If you
are a member of an under-represented minority in science, please indicate below.
____African-American ____Hispanic ____Native American ____Multiracial
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