Boise State University REU in Materials for Energy and Sustainability

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1 Boise State University REU in Materials for Energy and Sustainability Program Dates: 28 May - 31 July 2015 Application Due Date: Applications received by 15 February 2015 will be given priority Questions: Please contact Prior to beginning: Please refer to the application instructions that describe all information needed to complete the form. The application instructions can be found at coen.boisestate.edu/mse-reu/apply-now. It would be helpful to download the instructions and also share the pdf application with your referees. The PDF application is for reference only. Please complete your application online. 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 then copying and pasting into the text fields below is recommended. Application for Summer 2015: 28 May through 31 July 2015 Contact Information [Required] Last Name: [Required] First Name: Middle Initial: [Required] Address: Street Address, Apartment/Unit #, City, State, Zip [Required] Preferred Phone Number: - must be digits long and may include only numbers, hyphens, and spaces. Alternate Phone Number: - must be digits long and may include only numbers, hyphens, and spaces. [Required] Preferred Address: Alternate Address: Demographic Information [Required] Gender: [ ] Female [ ] Male [ ] Prefer not to answer [Required] Citizenship: Page 1 of 6 Boise State University REU in Materials for Energy and Sustainability

2 [ ] US Citizen [ ] US Permanent Resident [ ] Other [Required] Date of Birth: mm/dd/yyyy [Required] Race/Ethnicity: How would you describe yourself? Please select all that apply [ ] 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. [Required] What is your military service status? [ ] Active [ ] Reserve [ ] Veteran ne If Active, Reserve, or Veteran, please list your years and branch of service. [Required] Do you have any special needs or accessibility issues? [ ] Vision Impairment [ ] Hearing Impairment [ ] Attention Deficit Disorder [ ] Dyslexia [ ] Other ne [ ] Prefer not to answer If you answered Other to the previous question, feel free to explain here. Academic Information Highest degree obtained by parent(s): 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. Page 2 of 6 Boise State University REU in Materials for Energy and Sustainability

3 [Required] Colleges and Universities you have attended with enrollment dates: Non-research active institutions include U.S. two-year, four-year, masters-level, and small doctoral colleges and universities that: Grant baccalaureate degrees in NSF-supported fields, or provide programs of instruction for students pursuing such degrees with institutional transfers (e.g., two-year schools) Have undergraduate enrollment exceeding graduate enrollment, and Award an average of no more than 10 Ph.D. or D.Sc. degrees per year in all NSF-supportable disciplines. [Required] Is your current institution non-research active (see description above)? [Required] One of the goals of the REU program is to increase research participation of students whose home institutions provide limited opportunities to engage in research. Have you participated in research at your institution? [Required] Your Academic Major: Your Academic Minor: [Required] Current Academic Status: [ ] Freshman [ ] Sophomore [ ] Junior [ ] Senior [Required] Expected Graduation Date: mm/yyyy [Required] Overall GPA: [Required] Major GPA: [Required] Please attach a current college transcript. An unofficial transcript is acceptable. Please make certain that the document 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 it and scan it for upload as a pdf. [Required] On a scale of 1-10, rate your intention to attend graduate school. 1 = Definitely No 10 = Definitely Yes Page 3 of 6 Boise State University REU in Materials for Energy and Sustainability

4 [ ] 1 - Definitely No [ ] 2 - Very Unlikely [ ] 3 - Unlikely [ ] 4 - Somewhat Unlikely [ ] 5 - Undecided - Probably Not [ ] 6 -Undecided - Probably [ ] 7 - Somewhat Likely [ ] 8 - Likely [ ] 9 - Very Likely [ ] 10 - Definitely Yes [Required] Do you plan to attend medical or professional school? Enter yes if, for example, you intend to obtain an MD, PA, DDS, PharmD, JD, or other similar degree. [ ] Undecided If "yes" to either of the two previous questions, please indicate degree and field of interest: [Required] Do you wish to live on campus during the REU program? (on-campus housing will be provided at no cost) [Required] Students get the most value by participating for the entire duration of the program: 28 May through 31 July. Are you able to commit to this time frame? If you answered No to the previous question, for which dates are you unavailable? [Required] Do you intend to enroll in summer courses or work at a second job during the REU program? Normal program hours are Monday-Friday, 9:00 am-5:00 p.m. [ ] Undecided Essays and Research Preferences [Required] Please describe why you want to participate in this program. (What would you bring to the program and what would you like to gain?) Please limit your response to no more than 300 words. [Required] Please provide any additional information about you or your career plans, previous lab experience, prior work experience, etc. that you would like the selection committee to have. Please limit your response to no more than 300 words. List up to three mentors with whom you would like to conduct research this summer. Descriptions of potential research projects may be found online. Page 4 of 6 Boise State University REU in Materials for Energy and Sustainability

5 [Required] 1st Choice: [ ] I would be happy to work with any mentor [ ] Dr. Darryl Butt [ ] Dr. Dave Estrada [ ] Dr. Arvin Farid [ ] Dr. Elton Graugnard [ ] Dr. Dr. Mike Hurley [ ] Dr. Lan Li [ ] Dr. Yang Lu [ ] Dr. Sondra Miller [ ] Dr. Peter Mullner [ ] Dr. Alex Punnoose [ ] Dr. Rick Ubic [ ] Dr. Janelle Wharry [ ] Dr. Yanliang Zhang [ ] Dr. Hui (Claire) Xiong [Required] 2nd Choice: [ ] I would be happy to work with any mentor [ ] Dr. Darryl Butt [ ] Dr. Dave Estrada [ ] Dr. Arvin Farid [ ] Dr. Elton Graugnard [ ] Dr. Dr. Mike Hurley [ ] Dr. Lan Li [ ] Dr. Yang Lu [ ] Dr. Sondra Miller [ ] Dr. Peter Mullner [ ] Dr. Alex Punnoose [ ] Dr. Rick Ubic [ ] Dr. Janelle Wharry [ ] Dr. Yanliang Zhang [ ] Dr. Hui (Claire) Xiong [Required] 3rd Choice: [ ] I would be happy to work with any mentor [ ] Dr. Darryl Butt [ ] Dr. Dave Estrada [ ] Dr. Arvin Farid [ ] Dr. Elton Graugnard [ ] Dr. Mike Hurley [ ] Dr. Lan Li [ ] Dr. Yang Lu [ ] Dr. Sondra Miller [ ] Dr. Peter Mullner [ ] Dr. Alex Punnoose [ ] Dr. Rick Ubic [ ] Dr. Janelle Wharry [ ] Dr. Yanliang Zhang [ ] Dr. Hui (Claire) Xiong Reference-Provider Information List two academic faculty whom you have asked to write letters of recommendation for you. At least one of the referees must be able to comment on your potential for independent research. Both should attempt to comment on your 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. We will not be contacting these individuals to request letters. Applicants need to inform their referees of the need for letters and the web link for submitting them by the priority consideration deadline of 15 February The link that reference writers will use to submit letters in support of your application is: Page 5 of 6 Boise State University REU in Materials for Energy and Sustainability

6 [Required] Referee #1 Name: [Required] Referee #1 Title: [Required] Referee #1 School/University: [Required] Referee #1 Address: [Required] Referee #2 Name: [Required] Referee #2 Title: [Required] Referee #2 School/University: [Required] Referee #2 Address: [Required] Electronic Signature: Please type your full name here to indicate that the information provided is true and accurate to the best of your knowledge. Page 6 of 6 Boise State University REU in Materials for Energy and Sustainability

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