Title: First Name: Last Name: Are you a citizen or permanent resident of the U.S:
(if not, you are not eligible.)
What year were you born? (yyyy): Current Mailing Address and Contact Information: Street: City: State: Zip Code: Day Tel #: Eve Tel #: Cell #: Current E-mail: Please provide your longterm email, such as hotmail, rather than your school email address, if available.) Longterm Address and Contact Information Street: City: State: Zip Code: Tel #: REFERENCES (from 2 professors or employers who can be verbal references. These are in addition to those who wrote letters of recommendation.) Name: E-mail: Telephone: Name: E-mail: Telephone: Faculty Mentor Interest Please rank three mentors from the research projects web page based on your interest in participating in their research. Use the following scale: 1st = highest interest, 2nd = second highest preference, etc. If your interest in two or more mentors is comparable, use the Tie Between option below. For more information on the research conducted by mentors please go to the REU FACULTY MENTORS (http://www.uaa.alaska.edu/reu/faculty-mentors.cfm) for the current year. 1st Choice (last name only): 2nd Choice (last name only): 3rd Choice (last name only): Tie Between: Academic Information Your Current Institution's: Name: City: State: Size: Highest Scientific Field Degree for Institution:
At you current institution, what is the highest degree offered in biology, ecology or another related scientific field? (check one above)
What is your current class standing?: If other, please specify: What is your official major?: Expected graduation with a Bachelor degree?: Please enter Month and Year (mm / yyyy) Past Colleges Attended: College Name: Dates attended: Major Subject: College Name: Date attended: Major subject: College Name: Dates attended: Major subject: COURSEWORK Introductory Coursework: Please list above any introductory biology and/or chemistry courses you have taken and earned a letter grade of C or better. Please list horizontally (B115 Biology, C120 Chemistry..etc) rather than one course per line. Please list the course number and name of any upper division biology, statistics, or mathematics courses you have taken and earned a letter grade of C or better. Please list horizontally ( B412 Botany, B420 Cell Biology..etc ) rather than one course per line. Upper Division Biology: Statistics: Mathematics: Upper division courses from other subjects areas: Overall GPA: Overall in major: Your responses to the questions that follow will help us evaluate how prepared you are for some of the different research projects. Some fieldwork will occur in remote areas and some projects are physically demanding. Some of our projects primarily involve laboratory research. Your answers to these questions will help us to match your skills and abilities with an appropriate project. 1. How would you rate your writing skills?: 2. What computer experience or skills do you have? (Check and list specific programs, if appropriate.)
Data entry software:
Spreadsheet software:
Other database software:
Graphics software programs:
Statistics software program:
List other software: 3. Research Experience: Have you participated in any field programs or any research projects? If you responded yes above, briefly describe: 4. Lab Research Experience: Have you conducted laboratory research other than that for a course? If you responded yes, briefly describe: 5. Research Preference:
Do you have a strong preference for conducting field or laboratory research? Please check one above.
6. Field Project Experience: Describe an experience you have had living and working with a small group of people (other than your family), if you have had one. What did you like most about the experience, and what did you like least? If you have not had such an experience, explain what you think you would like most and least about working closely with others on a field project. 7. Expertise: What skill or expertise do you have that you might be able to share with your teammates on a project? Your response could address wilderness or camping skills,
people skills, field research skills, organizational skills, or other attributes. 8. How did you learn about NSF/REU program at UAA?: If you chose e-mail list, please enter list name: If you chose Instructor, please enter his/her name: If you chose "Other", please enter source: 9. Have you participated in any other REU program?: DEMOGRAPHIC DATA Ethnicity (choose one): Race (select one or more): Parental Education Information:(select the highest level of education completed.) Mother: If other, please describe: Father: If other, please describe:
