Summer Research Experience for Undergraduates 2015 Application ELIGIBILITY: Please check each item below; candidates must meet all eligibility requirements. Candidates for the IBSB summer research experience: _____must be citizens or permanent residents of the United States _____must be enrolled in a degree program (part-time or full-time) leading to a baccalaureate degree _____must be entering their junior or senior year in Fall 2015 _____should have declared a major and completed coursework relevant to the biology of social behavior _____must be able to work at least 40 hours per week for the entire 10 week term (May 17 - July 25, 2015). Candidates who cannot attend for the entire period should not apply. Name________________________________ Date______________ Birthdate_______________ School_______________________________ Major_______________________________ Overall GPA___________________________ In the Fall, I will be a: _____Junior _____Senior Anticipated Date of Graduation (month, year)_____________________ Email Address___________________________ Alternate Email Address____________________ Phone: Cell______________________________ Home_____________________________ Address at School: ________________________________________________________________ Street City State Zip The school address above is good until (date):______________________ Permanent Address (the full address you would use for your bank, not your temporary college address): _________________________________________________________________ Street City State Zip PRIMARY CAREER GOALS (check one): _____Medicine/allied health professions (includes nursing, pharmacology, etc.) _____Graduate school/research _____Education _____Undecided/other (please explain in your personal statement; see below for details) RESEARCH INTERESTS: Please list 4 of our mentoring faculty with whom you might want to work; their names and research interests can be found on our website at www.msu.edu/~ibsb: _________________________ _________________________ _________________________ _________________________ DEMOGRAPHIC INFORMATION: Providing this information is optional. The National Science Foundation (NSF) seeks to track applicant demographics. We provide the NSF only a summary of this information about the interns as a group - no individual information about you will be reported. Please check as many as apply. _____African American Gender: _____Asian _____Male _____Native American, First Nation, or Alaska native _____Female _____Puerto Rican _____Other _____Other Hispanic/Latino _____Native Pacific Islander _____White, non-Hispanic _____Other How did you hear about us? _____Academic advisor _____Internet search _____Poster _____Professor _____Friend _____Internship fair or conference (state which one_____________________) _____Other (please explain): ______________________________________ REQUIRED APPLICATION MATERIALS: 1) RESUME or CV: Please provide a brief resume or CV with your application that includes your academic and work history. Be sure to include any research experience, laboratory skills, awards, honors, presentations, or extra-curricular activities you would like us to know about. Previous research experience is NOT necessary for consideration for the internship. 2) PERSONAL STATEMENT: Please include a one-page personal statement. Focus on explaining your career goal choices, why you think the IBSB program is a very good match for your career interests, and how an IBSB internship at Michigan State University would help you achieve your career goals. 3) TRANSCRIPTS: Please obtain a transcript from the college you are currently attending AND from your previous school(s) if you are a transfer student. Transcripts may be included with your application or sent directly by your institution to our email address: ibsb@msu.edu. 4) LETTERS OF RECOMMENDATION: Please have two letters of recommendation sent directly from a current or former teacher, mentor, or employer. Someone who can comment on your academic achievements or lab experience is best. Letters of recommendation must be emailed to ibsb@msu.edu. Please ask your recommenders to include your surname in the name of the file they send to us. APPLICATION DEADLINE: To be guaranteed consideration for an IBSB summer internship position, all application materials must be received by February 13, 2015. Please compile all but the recommendation letters (and transcripts if they will be sent directly to us) into a single file whose name includes your surname. We will notify you by April 1, 2015 whether you were selected for an IBSB internship position. APPLICATION MATERIALS CHECKLIST: ___ Application form emailed to ibsb@msu.edu by February 13, 2015. ___ Resume or CV included in application file ___ Personal statement included in application file ___ College transcript included in the application file or sent separately by your college ___ Letters of recommendation emailed to ibsb@msu.edu by February 13, 2015 IBSB is an equal opportunity/affirmative action program and encourages applications from members of underrepresented groups, including minorities, women, and people with disabilities. CERTIFICATIONS: 1) I certify that all of the answers I provided in this application are complete and accurate to the best of my knowledge and, if admitted to the IBSB program, I agree to observe all the rules and regulations of the IBSB program and Michigan State University. I understand that failure to do so can result in dismissal from the program. I agree that all documents submitted as part of this application are authentic and that any falsification of documents or omission or misstatement by me in this application may result in cancellation of my admission to the IBSB program. Please type or sign your name in the space below to indicate agreement with this statement __________________________. 2) Have you ever been expelled, suspended, disciplined or placed on probation at any school or college you have attended because of academic dishonesty, financial impropriety, or an offense that harmed or had the potential to harm others? _____Yes _____No (check one) 3) Have you ever been convicted of a criminal offense (including in juvenile court) other than a minor traffic violation, or are there criminal charge pending against you at this time? _____Yes _____No (check one) Note: Answering “yes” to questions #2 or #3 above will not prevent consideration of your application but may prompt us to ask you for an explanation.