Boise State University REU Raptor Research Application

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1 Boise State University REU Raptor Research Application Anticipated Program Dates: May 23-July 30, 2016 Application Due Date: Received by February 16, 2016 Questions: Please contact Prior to beginning: Please refer to the instructions that describe all information needed to complete the form. The instructions can be found at HERE. It would be helpful to download the instructions and also share this.pdf document with your references. IMPORTANT NOTES: 1. 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. 2. The application site WILL NOT generate an automated response when your application is submitted and received. Instead, after submitting your application, watch for notification on your screen that the application has been submitted. Application for Summer 2015 Last Name: [Required] First Name: [Required] Middle Initial: Address: [Required] Street Address, Apartment/Unit #, City, State, Zip Prefered Phone Number: [Required] - 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. Prefered Address: [Required] Alternate Address: Gender: [Required] [ ] Female [ ] Male [ ] Prefer not to answer Citizenship: [Required] Page 1 of 5 Boise State University REU Raptor Research Application

It would be helpful to download the instructions and also share this.pdf document with your references. IMPORTANT NOTES: 1.

2 [ ] US Citizen [ ] US Permanent Resident [ ] Other Highest degree obtained BY PARENTS: [Required] degree [ ] High School Diploma [ ] Associates Degree [ ] Bachelors Degree [ ] Post-Baccalaureate (e.g, MS, PhD, MD, JD, etc.) Your current Academic Institution [Required] College(s) and University(ies) attended, with enrollment dates: [Required] Academic Major: [Required] Academic Minor: Current Academic Status: [Required] [ ] Freshman [ ] Sophomore [ ] Junior [ ] Senior Expected Graduation Date: [Required] mm/yyyy Overall GPA: [Required] Science/Math GPA: [Required] List grades for up to 10 science/math courses taken at the college or advanced high school level. Please List Relevant Biology 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. Page 2 of 5 Boise State University REU Raptor Research Application

) Your current Academic Institution [Required] College(s) and University(ies) attended, with enrollment dates: [Required] Academic Major: [Required] Academic Minor: Current Academic Status:

3 Do you plan to attend medical or professional school? [Required] Enter yes if, for example, you intend to obtain an MD, DVM, PA, DDS, PharmD, JD, or other similar degree. If "yes" to either #21 or #22, please indicate degree and field of interest. List two academic faculty who you have asked to write letters of recommendation for you. At least one of the reference providers must be able to comment on your potential for independent research in Biology. 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. REU-Raptor Research will not be contacting these individuals to request letters, so applicants must inform their references of the need for letters and the web link for submitting them by the February 20 deadline. The link that reference writers will use to submit letters in support of your application will be: Reference #1 Name: [Required] Reference #1 Title: [Required] Reference #1 School/University: [Required] Reference #1 Address: [Required] Reference #2 Name: [Required] Reference #2 Title: [Required] Reference #2 School/University: [Required] Reference #2 Address: [Required] I would be most interested in research experiences [Required] [ ] Conducted primarily in the field [ ] Conducted primarily in the laboratory [ ] That combine field and laboratory experiences [ ] Either in the field or laboratory, as I don't have a strong preference List up to three mentors with whom you would like to conduct research this summer. Descriptions of potential research projects may be found at Note: this is for reference only, as there is no guarantee that positions with a particular mentor will be available or that you would not be selected for a project with a different mentor. We mainly use this information to gauge interest. Page 3 of 5 Boise State University REU Raptor Research Application

At least one of the reference providers must be able to comment on your potential for independent research in Biology.

4 1st Choice: [Required] 2nd Choice: [Required] 3rd Choice: [Required] Do you wish to live on campus during the REU program? (on-campus housing will be provided at no cost) [Required] Are you able to begin research on or near May 23, 2016? [Required] If you are unable to begin research on May 23, 2016, what would be your earliest start date? [Required] Military Service: I am a veteran of military service in the US Armed Forces. If yes to #39, please list the years and branch of service. Page 4 of 5 Boise State University REU Raptor Research Application

[Required] If you are unable to begin research on May 23, 2016, what would be your earliest start date?

5 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 you wish. Why do you want to participate in the REU Raptor Research program? What do you expect to get out of the program? [Required] Please describe any prior relevant experience (e.g., research, laboratory, science jobs, etc.). [Required] Please provide any additional information about you or your career plans that you would like the selection committee to have. 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. Page 5 of 5 Boise State University REU Raptor Research Application

White/Caucasian [ ] Other [ ] Prefer not to answer If you selected Native American/Native Alaskan, please indicate your tribal affiliation.

Boise State University REU in Chemistry/Biochemistry Application

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