UNIRES Program Application
United States and Nigeria International Research Experiences for Students (UNIRES)
Department of Agriculture and Environmental Sciences
Lincoln University of Missouri
POSTMARK DEADLINE FOR SUBMISSION: 04/15/2009 (Extended)
General instructions for application:
1. Complete all sections of the student application and the informational section on the top
of each of the recommender forms. Applications should be typewritten.
2. Be certain to include all required information in the spaces provided and to adhere to
specific space limitations where noted. Please attach undergraduate and graduate
academic transcripts to the back of the application form. Unofficial transcripts ARE NOT
acceptable.
3. Please sign and date the application on page 4.
4. Send the completed application with attached academic transcript(s) to:
UNIRES Program
Department of Agriculture and Environmental Sciences
Lincoln University of Missouri
Jefferson City, Missouri 65101
5. Letters of reference should be submitted by recommenders directly to the UNIRES
program office at the above address.
6. The postmark deadline for submission of all materials is April 15, 2009.
7. List of required documents
a) Application form
b) Description of research interests
c) Two letters of recommendation
d) Official transcripts
1
General Information:
Applicant Name
__________________________________________
Institution
__________________________________________
Academic Department __________________________________________
Year in School (as of 03/27/2009) ¤ Sophomore ¤ Junior ¤ Senior ¤ Graduate
Citizenship Status (check one) ¤ U.S. Citizen ¤ Permanent Resident ¤ Other
If Permanent Resident/Other Country of Citizenship __________________
Academic Information:
Academic Major
__________________________________________
Degree Objective
___B.A. ___ B.S. ___Other __________
Expected Graduation Date
____________________________ (as MM/YYYY)
Name of: __ Department Chair
__________________________________________
or __Major Advisor
__________________________________________
Transcripts
Please attach one copy of undergraduate and graduate
academic transcripts to the back of this application.
Transfer students should include transcripts from all
undergraduate and graduate institutions attended.
Grade Point Average (GPA)
Undergraduate
Overall GPA ________ Major GPA ________
Graduate
Overall GPA ________ Major GPA ________
Institutional Contact Information:
Academic Department
__________________________________________
Institution
__________________________________________
Institution Address
__________________________________________
__________________________________________
Telephone
____________________________
Fax
____________________________
E-mail
____________________________
2
Home Contact Information (during the academic year):
Home Address
__________________________________________
__________________________________________
Telephone
____________________________
Fax
____________________________
E-mail
____________________________
Permanent Home Contact Information: If not same as above
Home Address
__________________________________________
__________________________________________
Telephone
____________________________
Fax
____________________________
E-mail
____________________________
Language Skill
Complete the following table regarding your foreign language training and competence.
Proficiency(Excellent, Good, Fair)
Language
Years of Study
Reading
Writing
Speaking
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International Travel Experience
List your previous international travel experience in table below.
Country
Year(s)
Duration
Purpose
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How did you learn about this program? Please be a specific as possible (e.g., advertisement
through a specific professional society, announcement through a faculty mentor or student club
at your school, recommendation from former participant, etc.).
3
Letter of Recommendation:
Applicants should request ‘UNIRES Program Reference Request Form’ from two individuals
able to comment on the applicant’s academic background and readiness to participate in a
rigorous research experience at an international site. Typically, recommenders will be university
faculty or active researchers in the field. Each recommender should be provided a copy of the
recommendation request form with completed FERPA waiver section. Recommenders may also
find it useful to have a copy of the completed application. Recommendation letters should be
submitted by the recommenders directly to the UNIRES program office.
Recommendation letters requested from:
UNIRES Program Office Use Below
Name and affiliation
Received (Date ____________________)
__________________________
___
___________________________
__
Name and affiliation
_________________________
Received (Date ____________________)
____
_________________________
____
Description of research interests:
Provide a concise description of your research interests relative to the projects that are available
under the UNIRES Program. State how participation in the UNIRES program will benefit your
academic training and how it will further your intended professional career. Describe your
previous research work, and note its relevance to the UNIRES Program theme. State explicitly
whether the work you describe was part of an undergraduate independent study or honors
project, another UNIRES experience, or a research experience acquired through employment. Do
not list organized laboratory coursework at your university, but do be certain that laboratory
courses are clearly identified on your transcript(s). (Limit your narrative answer to one page.)
Applicant Certification and Signature:
I certify that the information provided in this application to the UNIRES Program is correct and
true to the best of my knowledge.
Applicant’s Signature _________________________
4
Date
_________________________