Application for May 6 - July 21, 2018

Application Deadline: Feb 16, 2018, at 12am midnight

Note: Fields marked with a red star (*) are required.

* First Name:
* Middle Initial:
* Last Name:

Local Info
* Address:
Address 2:
* Telephone Number:
* E-mail Address:

Home Address
* Address:
Address 2:
* City:
* State:
* Zip Code:
* Country:
* Telephone Number:

College Info
* College/University:
* Your Major:
* GPA (4.0 scale):

Future Goals and Plans

What best describes your career goal(s)? Please choose Yes or No for each career.

  Yes No
Research Scientist
Science Educator
Environmental Science
Medical / Dental Practice

Do you plan to continue your studies after graduation? Yes No
If your answer is "yes," do you plan to attend graduate school or professional school? Graduate
* What is your anticipated terminal degree?
In the Fall of this academic year, what year will you be? (NSF requires that participants be undergraduates.) First Year
List the biology courses you will have completed by this summer:
On what date do you plan to receive your undergraduate degree (month/year)?

Additional Info
Are you a citizen or permanent resident of the United States? (NSF requirement.) Yes No
Do you have any medical problems requiring special care? Yes No
If so, please specify:
If you are accepted to the SURB program, can you begin on the starting date, May 7, 2017? (Program requirement.) Yes No

Please rank your research preferences from first to last:

  First 2nd 3rd 4th 5th Last
Animal Physiology
Cell Biology
Marine Biology
Mathematical Modeling of Biological Systems
Molecular Biology
Plant Ecology

Special Consideration

Applicants should note that this award is based on a variety of criteria. However, under NSF guidelines special consideration may be given to students who are underrepresented in science:

  • Hispanic or Latino
  • Black or African American
  • American Indian
  • Native Alaskan
  • Native Hawaiian or other Pacific Islander
  • Disabled (hearing impairment, visual impairment, mobility or orthopedic impairment)

If you would like to be considered under this NSF definition, please indicate your basis for qualification:

Sorry, you must have JavaScript enabled to use this form.