Boise State University REU in Chemistry/Biochemistry Application
Program Dates: May 28-August 8, 2014 (tentative)
Application Due Date: Received by February 17, 2014
Questions: Please contact chem-reu@boisestate.edu
Prior to beginning: Please refer to the instructions that describe all information needed to complete the form. The instructions can be found at this link:
http://chemistry.boisestate.edu/reu/application/. It would be helpful to download the instructions and also share the pdf document with your references.
IMPORTANT NOTE: The online application form will need to be completed and submitted in one sitting, as your progress cannot be saved.
Completing some of the text boxes in a word processing application and ultimately copying and pasting into text fields below is recommended.
Application for Summer 2014
Contact Information
Last Name: [Required]
First Name: [Required]
Middle Initial:
Address: [Required]
Street Address, Apartment/Unit #, City, State, Zip
Prefered Phone Number: [Required]
Valid input:
- must be 10-15 digits long and may include only numbers,
hyphens, and spaces.
Alternate Phone Number:
Valid input:
- must be 10-15 digits long and may include only numbers,
hyphens, and spaces.
Prefered Email Address: [Required]
Valid input:
- name@myschool.edu
Alternate Email Address:
Valid input:
- name@myschool.edu
Demographic Information
Gender: [Required]
Valid input:
- Select only one choice.
[ ] Female
[ ] Male
[ ] Prefer not to answer
Citizenship: [Required]
Valid input:
- Select only one choice.
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[ ] US Permanent Resident
[ ] US Citizen
[ ] Other
Date of Birth: [Required]
mm/dd/yyyy
Race/Ethnicity: How would you describe yourself? Please select all that apply [Required]
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] African American/Black
] Asian/Asian American
] Hispanic American/Latino(a)
] Native American/Native Alaskan
] Native Hawaiian/Pacific Islander
] White/Caucasian
] Other
] Prefer not to answer
If you selected Native American/Native Alaskan, please indicate your tribal affiliation. If you selected "other", please provide any pertinent information.
Military Service: I am a veteran of military service in the US Armed Forces.
Valid input:
- Select only one choice.
[ ] Yes
[ ] No
If yes, please list the years and branch of service.
Highest degree obtained by parent(s):
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] No degree
] High School Diploma
] Associates Degree
] Bachelors Degree
] Post-Baccalaureate (e.g, MS, PhD, MD, JD, etc.)
Occasionally the National Science Foundation asks the REU sites for cumulative information about its applicants in order to help improve the program.
This information is used for statistical purposes only and individual identifiers are erased after the results are known. These lists are not distributed or
made available to any other agency or program.
Check this box if you do not want your information shared with the National Science Foundation:
[ ] No, I do not want my information shared with the National Science Foundation.
Academic Information
College(s) and University(ies) you have attended, with enrollment dates: [Required]
Your Academic Major: [Required]
Your Academic Minor:
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Current Academic Status: [Required]
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] Freshman
] Sophomore
] Junior
] Senior
Expected Graduation Date: [Required]
mm/yyyy
Overall GPA: [Required]
Math/Science GPA: [Required]
List grades for up to 10 math/science courses taken at the college or advanced high school level. Please List Chemistry Classes First! [Required]
Include course title & grade for each class listed.
Please attach a current college transcript. [Required]
Unofficial transcript is acceptable. Please make certain that the document that you upload is not restricted in terms of number of times it can be opened, as some transcript
documents have this limitation. If your electronic transcript is restricted, then please print the document, and then make a .pdf scan of the printed document to upload to
avoid this issue.
Do you plan to attend graduate school? [Required]
Enter yes if, for example, you intend to obtain an MS, MA, or PhD.
Valid input:
- Select only one choice.
[ ] Yes
[ ] No
Do you plan to attend medical or professional school? [Required]
Enter yes if, for example, you intend to obtain an MD, PA, DDS, PharmD, JD, or other similar degree.
Valid input:
- Select only one choice.
[ ] Yes
[ ] No
If "yes" to either of the two previous questions, please indicate degree and field of interest:
Reference Provider Information
List two academic faculty who you have asked to write letters of recommendation for you. At least one of the references must be able to comment on
your potential for independent research. Both should attempt to comment on your chemistry or biochemistry laboratory skills, your interest in science,
motivation, work ethic, etc.
IMPORTANT: Be sure to provide your letter writers with the following web link to submit letters. This link is also contained in the application
instructions that you downloaded above. We will not be contacting these individuals to request letters, so applicants need to inform their references of
the need for letters and the web link for submitting them by the February 17 deadline.
The link that reference writers will use to submit letters in support of your application is:
https://orgsync.com/79452/forms/92188
Reference #1 Name: [Required]
Reference #1 Title: [Required]
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Reference #1 School/University: [Required]
Reference #1 Email Address: [Required]
Valid input:
- name@myschool.edu
Reference #2 Name: [Required]
Reference #2 Title: [Required]
Reference #2 School/University: [Required]
Reference #2 Email Address: [Required]
Valid input:
- name@myschool.edu
Essays and Research Preferences
List up to three mentors with whom you would like to conduct research this summer. Descriptions of potential research projects may be found at
http://chemistry.boisestate.edu/REU/.
1st Choice: [Required]
Valid input:
- Select only one choice.
- must select a value.
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] I would be happy to work with any mentor
] Allan Albig
] Eric Brown
] Henry Charlier
] Ken Cornell
] Jennifer Forbey
] Cheryl Jorcyk
] Jeunghoon Lee
] Owen McDougal
] Rajesh Nagarajan
] Dale Russell
] Don Warner
2nd Choice: [Required]
Valid input:
- Select only one choice.
- must select a value.
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] I would be happy to work with any mentor
] Allan Albig
] Eric Brown
] Henry Charlier
] Ken Cornell
] Jennifer Forbey
] Cheryl Jorcyk
] Jeunghoon Lee
] Owen McDougal
] Rajesh Nagarajan
] Dale Russell
] Don Warner
3rd Choice: [Required]
Valid input:
- Select only one choice.
- must select a value.
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] I would be happy to work with any mentor
] Allan Albig
] Eric Brown
] Henry Charlier
] Ken Cornell
] Jennifer Forbey
] Cheryl Jorcyk
] Jeunghoon Lee
] Owen McDougal
] Rajesh Nagarajan
] Dale Russell
] Don Warner
Do you wish to live on campus during the REU program? (on-campus housing will be provided at no cost) [Required]
Valid input:
- Select only one choice.
[ ] Yes
[ ] No
Are you able to start the morning of May 28, 2014? [Required]
Valid input:
- Select only one choice.
[ ] Yes
[ ] No
If you are unable to begin research on May 28, 2014, what would be your earliest start date?
Do you intend to enroll in summer courses or work at a second job during the REU program? [Required]
(it is expected that you be available for full-time research work—minimum of Monday-Friday, 9:00 am-5:00 pm)
Valid input:
- Select only one choice.
[ ] Yes
[ ] No
Why do you want to participate in this program? What do you expect to get out of the program? [Required]
Please limit your response to no more than 300 words.
Please describe any prior relevant experience (e.g., research, laboratory, etc.). [Required]
Please limit your response to no more than 300 words.
Please provide any additional information about you or your career plans that you would like the selection committee to have. [Required]
Please limit your response to no more than 300 words.
Electronic Signature: [Required]
Please type your full name here to indicate that the information provided is true and accurate, to the best of your knowledge.
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