APPLICATION FOR
Summer Undergraduate Research Fellowships in Chemistry

Sponsored by the National Science Foundation

First Name: Last Name:

College or University and mailing address:

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City: State: Zip Code:

School Telephone No. (include area code): (555-555-5555)

Major: Minor (if any):

Planned Graduation Date:

Home Address (if different than above):

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City: State: Zip Code:
Home Telephone No. (include area code): (555-555-5555)

E-mail address:

Are you either a U.S. citizen or a permanent resident of the U.S.?

Date of Birth (MM/DD/YY):

Race/Ethnicity (optional, for aggregate data reporting purposes only:)

Date School Ends (Spring): Date School Starts (Fall):

Indicate the number of semesters/quarters completed by the start of summer in each of the following subject areas:

Analytical
Biochemistry
Inorganic
Organic
Physical

Experience in conducting undergraduate research?

If yes, describe (You might cut and paste this information if you wish)

In what area(s) would you prefer to work in summer research?

1st Choice: 2nd Choice: 3rd Choice:

Faculty preference: (research projects available)

1st Choice: 2nd Choice: 3rd Choice:

Present plans after graduation:

Please write a paragraph or two about why you would like to participate in Summer Undergraduate Research at the University of Cincinnati: (You might cut and paste this information if you wish)

Additional Comments:

TRANSCRIPTS: Please send a copy of your college transcript including your Fall 2007 grades (a Xerox is acceptable).

Letters of Recommendation: Please have two (2) letters of recommendation sent by email to bruce.ault@uc.edu or kim.carey@uc.edu, or to the address noted below. Letters should be from people who are familiar with your scholastic or technical abilities.  Please supply the names and e-mail addresses of the people who will be writing recommendations.

Recommender 1 E-mail

Recommender 2 E-mail

This is a web-based form. However, if you prefer, you may print this application form and mail or FAX to:
Summer Research Fellowships in Chemistry
Attn: Prof. Bruce S. Ault
Dept. of Chemistry
P.O. Box 210172
Cincinnati, OH 45221-0172
FAX: (513)556-9239

REU Website: http://www.che.uc.edu/UGFellowships/Fellowships.html

All materials MUST be received by March 1, 2008.

If you have problems submitting this form, contact John at 513-556-9320 or by Email. Thanks.