Graduate Research Fellowship Application Form
Center for Nanotechnology in Society
University of California, Santa Barbara
2011-2012
A COMPLETED FELLOWSHIP APPLICATION INCLUDES THE FOLLOWING:
1.
This completed application form (page 2 of this document)
2.
A statement of interest relevant to CNS-UCSB (page 3 of this document)
3.
A copy of your curriculum vitae
4.
A copy of your unofficial transcript
5.
A faculty recommendation from your current academic advisor (must be sent from advisor’s email address)
Send complete application via email to:
APPLICATIONS must be received by
July 22, 2011 for the Solar Future
fellowship and August 1, 2011 for the
Globalization fellowships.
Only complete applications will be
considered for selection.
cboggs@cns.ucsb.edu
Or by mail (must be received by application deadline):
Cathy Boggs, Acting Education & Outreach Director
CNS – ISBER MC 2150
University of California
Santa Barbara, CA 93106-2150
Fax: (805) 893-7995
PLEASE PUT YOUR LAST NAME IN THE FILE NAME OF ALL
ATTACHMENTS.
We prefer that all items be sent by email. Acceptable file formats for attachments are Microsoft Word and Adobe Acrobat (pdf).
Be sure to put your last name in the filenames of the attachments. Unofficial transcripts can be scanned in and converted to pdf file
format, or downloaded from online grade reporting systems, or the paper copy may be sent. All materials must be received by the
application deadline.
Application Deadlines are July 22, 2011 (Solar Future) and August 1, 2011
(Globalization)
Questions about the CNS-UCSB Graduate Fellowship program? Contact:
Cathy Boggs, Acting Education & Communications Director
Center for Nanotechnology in Society (ISBER MC 2150)
University of California
Santa Barbara, CA 93106-2150
Email: cboggs@cns.ucsb.edu
Phone: (805) 893-5929
Fax: (805) 893-7995
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CNS-UCSB – 2011-2012 Graduate Student Application Form
Social Science and Humanities Research Fellowship
All of the fields above the line must be completed
First Name
Last Name
E-mail Address
Phone
Current Address:
Street
City, State
Zip
Phone
Permanent Address:
Street
City, State
Zip
Phone
Current School:
Expected Graduation Date
Dates of Attendance:
Field of Study/Major
Please list the contact information for the person you have asked to write a letter of recommendation (your academic advisor):
Name
e-mail:
Phone:
Title and Institution
Please list two additional persons willing to have us to contact them for recommendations (they do not need to fill out a recommendation
form):
Name
e-mail:
Phone:
Title and Institution
Name
e-mail:
Phone:
Title and Institution
All of the fields below this line may be left blank.
The following information is optional, but is requested for future reporting to the National Science Foundation:
Gender (please check one)
Female
Ethnicity (please check one)
Native American/Alaskan
Male
African-American
Pacific Islander
Asian
Caucasian
Latino
Other
If you chose “other”, please specify
Do have any disabilities or special needs?
No
Yes
Were you the first in your family to graduate from college?
If yes, please explain:
No
Will you be the first in your family to receive a graduate degree?
Yes
No
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Yes
Personal Statement for CNS-UCSB Graduate Fellowship Program
First Name
Last Name
e-mail Address
Phone
Please provide a statement of research interest in the research projects at CNS-UCSB and how you think
your background and interests can be applied to ongoing CNS research examining the societal issues regarding
nanotechnology in society.
Please read the description of the project for which you are applying and describe your interest in the relevant
areas (e.g., for the Solar Future project, this would be innovation theory and the solar energy industry with
particular attention to nanoscale developments. For the Globalization group, this includes
globalization, economic development, labor, sustainability, China, East Asia, Latin America, etc.)
Statement should be 1000 words or less.
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