For questions contact Dr. Barbara Gonzalez or Dr. Maria Linder

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Howard Hughes Medical Institute High School Student Summer Research Program Intensive Five Week Program at California State University, Fullerton July 9 August 10, 2012 Supported by a Grant from the Howard Hughes Medical Institute Program Goal and Description A major goal of this HHMI supported program is to engage high school students and science teachers in research experiences that we expect will excite them and add to their depth of knowledge of basic chemistry, biology and mathematics. The objectives are to promote interest among students in biomedical research (including organic chemistry and mathematics) and to refresh their teachers in these disciplines by directly participating in actual research projects, working with individual faculty at Cal State Fullerton. Teachers and pairs of students will experience what it is like to break new ground and investigate new areas in the sciences (and mathematics) that underlie and support biomedical research. To learn more about individual faculty research interests, go to the HHMI website (below). Pairs of students (together with a high school science teacher) will be expected to work full time (at least 40 hours per week) in the laboratory for the 5 week period. Depending on the project, work time could be flexible and vary from day to day. Time inbetween is devoted to reading about background, making plans, analyzing data, preparing oral and written reports, and the like. [You are apprenticing with an individual faculty member to carry out original research on questions the faculty member is trying to answer.] In addition, participants will have a weekly one hour seminar with Dr. Barbara Gonzalez, to discuss how what is learned in the laboratory can be applied to high school science learning. Faculty Research Projects A list of the research interests of the HHMI faculty at Cal State Fullerton can be found on the CSUF HHMI website (hhmi.fullerton.edu). Eligibility, Application, and Compensation Students in Orange County high schools who have taken junior or senior level science and math are eligible for the program and can apply by filling out the appropriate (high school student) application form for this program, available on the CSUF-HHMI website (hhmi.fullerton.edu). Teachers and students will be selected by a subcommittee of the HHMI Research Scholars Program Steering Committee. High School students will receive a $200 stipend and course credit (free course registration is included). For questions contact Dr. Barbara Gonzalez (bgonzalez@fullerton.edu) or Dr. Maria Linder (mlinder@fullerton.edu). Submit applications to Mary Flores (mflores@fullerton.edu) Deadline for applications is March 1, 2012. Selections will be made by early April. 1

Application Summer 2012 July 9-August 10, 2012 HHMI High School Student Summer Research Program at California State University, Fullerton Application Deadline: March 1, 2012 (Submit application to Mary Flores at Cal State Fullerton (mflores@fullerton.edu)) APPLICANT INFORMATION Last First Middle Date of Birth (MM/DD/YY): Gender: Female Male U.S. Citizenship: Yes No (Permanent Resident No.: ) Current Address: Permanent Address: Same as Current Address Telephone Home: Email address: Mobile: Ethnicity: American Indian/Alaskan/Native American African-American/Black. Asian-American European-American Filipino/Filipino-American Latin/ Other Spanish American Mexican/Mexican American Mid Eastern-American Pacific Islander PuertoRican Other: Primary language spoken at home: Parent s Education (Highest level completed) Father Some H.S. H.S. Diploma/GED Some College Bachelor s Some graduate school Masters Doctorate Mother Some H.S. H.S. Diploma/GED Some College Bachelor s Some graduate school Masters Doctorate 2

ACADEMIC INFORMATION High School: District: Year (Check One): Freshman Sophomore Junior Senior Overall GPA: Science GPA: Expected graduation date (Check One): June 2012 June 2013 June 2014 Select ALL science and mathematics courses completed: Biology Chemistry Physics Integrated/Physical Science Other Algebra Geometry Algebra II Algebra II Trig Precalculus AP Calculus SPECIAL CONSIDERATIONS Please indicate whether you are: Under-represented minority (NIH defines this category as African American, Pacific Islander, Hispanic American, or Native American.) Applying as a financially disadvantaged student (Federal school lunch program). First generation in your family who will attend a four-year university. Enrolled at a high school that does not send a high percentage of students to four-year colleges. LETTERS OF RECOMMENDATION (obtain form from hhmi website, under Apply ) List the names of two individuals (preferably faculty) who will submit letters of recommendation on your behalf. All letters must be received no later than March 1, 2012. Title/Affiliation: Title/Affiliation: E-mail: Telephone: E-mail: Telephone: HHMI PROGRAM INFORMATION How did you learn about the CSUF HHMI Summer Research Program? (Check all that apply) Faculty member or advisor at your school (name) Other (specify) PARENT AND APPLICANT SIGNATURES: Student Signature Parent Name Signature Date Date Parent Contact Information 3

ESSAY Explain briefly why you are interested in participating in this summer research program and doing biomedically related research

CHECKLIST FOR APPLICATION Filled out application form (to which this is attached). All parts must be filled out. Your signature (student applying) Parent signature and contact information Arrange to have two letters of recommendation sent Provide a copy of your current transcript Send application as a pdf file to Mary Flores: mflores@fullerton.edu Or mail to: HHMI Program c/o Mary Flores Department of Chemistry and Biochemistry California State University Fullerton, CA 92834-6866 Or bring to: McCarthy Hall 580 Department of Chemistry and Biochemistry California State University, Fullerton 5