APPLICATION FORM RESEARCH EXPERIENCES FOR UNDERGRADUATES IN MOLECULAR GENETICS AND CELL BIOLOGY THE UNIVERSITY OF CHICAGO June 13 – August 18, 2016 Please complete this application and forward as an email attachment to: cwill@bsd.uchicago.edu. For full consideration, applications, letters of recommendation and transcripts must be received by February 1, 2016. Information from this form will be used to select interns and place them in laboratories suited to their interests. Interns are expected to arrive on campus no later than June 13th, 2016. Applicants must be citizens or permanent residents of the United States. 1. Documents Transcript(s) and two letters of recommendation: We do not require official transcripts for the initial application, so you are welcome to send an unofficial transcript, listing courses taken and grades received. Students selected for the program will be required to send official transcripts at that time. Your completed application, transcript and letters of recommendation should be sent as email attachments (MS Word or pdf) to Catherine Will at cwill@bsd.uchicago.edu. Alternatively, applications and supporting documents can be sent by mail to Catherine Will, MGCB REU Program, 920 E. 58th Street, Chicago IL 60637. In either case, the application and supporting documents must be received by February 1, 2016. 2. Biographical Information Name (Last, First, and Middle Initial): ________________________________________________________ E-mail address (required): ___________________________________________________________________ Date of Birth: ______ / ______ / ______ Gender: ___ Female ___ Male U. S. Citizen _______ Permanent Resident of the U.S. ______ Full Permanent (Parent’s) Address: Street Address: ________________________________________________________________________________ City: ____________________________________________ State: _______________ Zip: _____________ Phone (include area code): _________________________________________________________ Current Address (if different from permanent address): Street Address: ________________________________________________________________________________ City: _____________________________________________ State: ______________ Zip: _____________ Phone (include area code): _________________________________________________________ When do you expect to receive your Bachelor’s degree? _______ / _______ (Month/Year) (STUDENTS WHO WILL HAVE COMPLETED ALL REQUIREMENTS FOR THE BACHELOR’S DEGREE BEFORE JUNE 2016 ARE NOT ELIGIBLE TO APPLY TO THE REU PROGRAM.) Ethnic origins (check all that apply)/other information: ___ African American ___ Asian (A person with origins in any of the original peoples of the Far East, Southeast Asia, of the Indian subcontinent including Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippines, Thailand, and Vietnam.) ___ Native American or Alaska Native ___ Puerto Rican ___ Other Hispanic/Latino (A person of Mexican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.) ___ Native Pacific Islander (a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.) ___ White, non-Hispanic ___ First generation college ___ Low income Is there anything else about your background, that you would like us to know? Note: As stated on the REU Program website, we will not accept applicants who are currently enrolled in institutions possessing PhD programs in Cell and Molecular Biology that are comparable to those at the University of Chicago. Your current Institution: _____________________________________________________________ Highest Degree that your current institution awards: Bachelors Masters PhD Other: _______________ Major: _______________________________________ GPA in Major: ________ Undergraduate GPA: ________ SAT or ACT Scores: _________________ List the names, addresses, e-mail and telephone numbers of the people you asked to write letters of reference. 1. Name: __________________________________________ Phone #: ___________________ Address: ______________________________________________________________________ Email address: ____________________________________________________________ 2. Name: __________________________________________ Phone #: ___________________ Address: ______________________________________________________________________ Email address: ___________________________________________________________ 3. Research Interests From the list below, please indicate 2 faculty members, in order of preference, whose research interests you. While we will make every attempt to assign you to one of the laboratories of your choice, the availability of some faculty listed could change due to sabbatical, vacation and/or travel to attend conferences and meetings. If we cannot assign you to one of your two listed choices, we will confer with you before making an assignment. 1. __________________________ 2. __________________________ Faculty Participants in the Summer 2016 REU Program: Please see MGCB REU Trainers for more information on each of these faculty members. Douglas Bishop: Regulation of recombination and chromosome segregation in meiosis Richard Fehon: Regulation of epithelial polarity and proliferation during development. Ben Glick: Biogenesis of secretory pathway organelles in yeast and mammalian cells, and directed evolution of fluorescent proteins Michael Glotzer: Cytokinesis in animal cells Jean Greenberg: Plant defense against bacterial infection, and bacterial virulence mechanisms Sally Horne-Badovinac: Epithelial morphogenesis and organ shape David Kovar: Actin assembly in fission yeast, from fundamental cellular mechanisms to cancer Stephen Kron: Signal transduction, cell cycle control, and checkpoints. Technology development Jocelyn Malamy: Root system growth and development in plants Ed Munro: Cytoskeletal dynamics and cell polarization and morphogenesis Ilaria Rebay: Transcriptional regulatory circuits in development and disease Lucia Rothman-Denes: Transcription regulation, and bacterial-virus interactions Michael Rust: Biophysical and biochemical analysis of Circadian clocks Alex Ruthenburg: Molecular mechanisms underlying chromatin structure and function Jonathan Staley: Pre-mRNA splicing and quality control in yeast Aaron Turkewitz: Membrane traffic and evolution in protozoa 4. Essay In the space below, submit an essay including the following information: A. Briefly summarize your research experience or other relevant training (science courses, laboratories, laboratory assistantship, independent research, etc.). B. What are you hoping to get out of this program? Briefly outline your goals, both for the summer and following graduation from college. Please explain why you have chosen the two faculty members as potential advisors (on the previous page). What aspect of their research program interests you? SIGNATURE: ____________________________________________ DATE: ____________________ (Please type your name to sign your application) If you have any questions, please contact Catherine Will, MGCB-REU coordinator, by phone at 773.834.8344, by email at cwill@bsd.uchicago.edu, or by mail at Catherine Will, MGCB REU Coordinator, 920 E. 58th Street, Chicago IL 60637.