UREKA MolRec 2011 Application Form
Carefully read the instructions at the end of the form. Incorrectly completed application forms
will not be considered. To be eligible for UREKA MolRec, students must be in the second
last year of their study.
Submit your application by e-mail to: nina.weisser@nuigalway.ie
The deadline for receipt of applications is 5 pm on March 6th 2011.
General Information
Name:
Male / Female
Nationality:
E-mail address:
Phone number:
Home address:
Current Studies
University / College:
Programme Title:
Year of study:
Average Grade:
Position in Class:
Prior laboratory experience: Yes / No
Project Choice
First:
Second:
Third:
Indicate what other programme(s), if any, you have applied for:
Curriculum vitae (Two pages maximum)
Include the following information:
 Academic record
 Previous work experience
 Relevant laboratory skills
 Extracurricular activities
 Names and contact details for two referees
Statement of Interest
Describe, in less than 600 words, your interest in the UREKA MolRec programme. Use the
following headings as a guide:
 Your expectations of the programme
 Academic / career goals
 How / why you selected a particular project
Instructions
Delete this page before submitting your application.
Complete all sections of the application form. Use 12 point font.
E-mail address: Give an e-mail address that you check regularly. All communication in
relation to MolRec will be by e-mail. Make sure that there is sufficient space in your mail box
for new messages.
Curriculum Vitae: Include the grades/marks you have received for courses or modules you
have taken and are currently taking in college/university. Do not exceed the page limit.
Previous work experience: Describe any laboratory, scientific, or previous work experience
that you think is relevant to your application.
Statement of Interest: Do not exceed the word limit.
Project choice: Select three projects (in order of preference) in which you are interested.
Where possible successful students will be offered their 1st choice.
Recommendation letters: Arrange for your referees to send their letters of recommendation to
nina.weisser@nuigalway.ie