APPLICATION FOR
Summer Undergraduate Research Fellowships in Chemistry

Sponsored by the National Science Foundation

We suggest you answer the longer questions in a separate word processor and cut and paste the answers into this form.

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)

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 2009 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 Feb. 28, 2010.

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