NSF- LSAMP Summer Research Flyer & Application

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Summer Internship
NSF/LSAMP Application
Eligibility
LSAMP STEM (Science, Technology, Engineering, Mathematics) Scholars
Goal
The goal of the LSAMP STEM Scholars Summer Internship program is to assist underrepresented
minority students** in achieving academic excellence through research experiences.
Stipend
LSAMP scholars who meet the minimum 2.8 GPA requirements and participation will receive a
modest stipend at the end of the summer semester.
Contacts
Dr. PN Achar, Director for NSF/LSAMP Program
Email: [email protected], Dept of Biology & Physics, Science Building, Room 334
Sigurdur Greipsson- Faculty Research Mentor
Email: [email protected]
Application Due on January
http://lsamp.kennesaw.edu/
SUMMER
RESEARCH INTERNSHIP
APPLICATION FORM
LOUIS STOKES ALLIANCE FOR MINORITY PARTICIPATION – LSAMP
IN THE SCIENCES
Please print or type
NAME_____________________________________________________________________________
ADDRESS__________________________________________________________________________
__________________________________________________________________________
TELEPHONE/Cell #___________________________________________________________________
Area code
Number
Email Address: _______________________________________________________________________
ETHNICITY:
Hispanic or Latino
 Yes
 No
RACE:  African-American or Black
 Alaskan Native
 American Indian (Native American)
 Asian
 Native Hawaiian or other Pacific Islander
 White or Caucasian
 Other. Specify ________________________________________________________________
GENDER
 Female
 Male
CITIZENSHIP:  US. CITIZEN  NATURALIZED CITIZEN
 FOREIGN
OTHER COLLEGES ATTENDED (If applicable) ____________________________________________
COLLEGE OR UNIVERSITY CLASS LEVEL IN THE SUMMER 2012
 Freshman
 Sophomore
 Junior
 Senior
YOUR MAJOR AT KENNESAW STATE UNIVERSITY _________________________________
WHERE WOULD YOU LIKE TO CONDUCT YOUR RESEARCH/Internship?
____________________________
HAS THIS RESEARCH/INTERNSHIP BEEN APPROVED?____________________
HOW MUCH MONEY WILL YOU EARN (MAKE) WITHOUT MONEY FROM
NSF/LSAMP?_________________
LIST THE SUBJECT(S) THAT YOU WOULD LIKE TO RESEARCH AT KENNESAW STATE UNIVERSITY
OR OUTSIDE KSU
WHAT ARE YOUR PLANS AFTER GRADUATING FROM KSU?
BRIEFLY DESCRIBE YOUR CAREER GOALS.
DESCRIBE YOUR SPECIFIC STRENGTHS AS A SCIENCE/MATH STUDENT.
THE NEXT TWO QUESTIONS ARE OPTIONAL. HOWEVER, YOUR ANSWERS TO EITHER OR BOTH OF
THESE QUESTIONS MIGHT HELP US TO QUALIFY YOU FOR THE KSU-LSAMP PROGRAM.
Describe any cultural, social, or economic barriers you have faced in your pursuit of education.
Describe how your participation in the KSU-LSAMP program will contribute to the program's goal of
broadening participation in the sciences and the future of the discipline
Application Due on January
Submit Application to: STEM/LSAMP Office, Dept of Biology
and Physics, Rm 300
College of Science and Mathematics
ATTN: Dr. PN Achar- [email protected]
Or Sigurdur Greipsson- [email protected]
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