2008 Summer Research Participation Program
Department of Chemistry
Name Soc. Sec. Number
Campus Address Campus Phone
Concentration Class
Email Address
Previous experience in research or related areas:
Give a brief statement of your reasons for wishing to participate in the program: If you have a strong preference for a particular research area, please explain your reasons.
Post Graduate Plans:
Please list in order of preference the names of faculty with whom you would prefer to carry out a research program It is strongly suggested that you talk to those advisors whose lab you are interested in working in to determine the exact number of available spots, other available funding sources, etc. (Crane, Garza, Grieman, Johal, Selassie, Steinmetz or Taylor).
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Will you need housing in
You will be expected to participate for 10 weeks during the
summer. Starting and ending times may
vary. Is there any time during the summer
(May 16th to
Date Signature
List of Chemistry, Mathematics, Physics Biology and other relevant math/science courses taken or in progress.
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Please return this form to
Lauri Bell
in the
Chemistry office by
Monday, February