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Pepperdine | Seaver College

SURB Application

SURB 2020: May 10 - July 25

Application Deadline: February 12, 2020

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

Name
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Local Info
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Home Address
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College Info
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Future Goals and Plans

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

 
Research Scientist
Science Educator
Environmental Science
Biotechnology
Medical / Dental Practice
Other

Do you plan to continue your studies after graduation?
If your answer is "yes," do you plan to attend graduate school or professional school?
 
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In the Fall of this academic year, what year will you be? (NSF requires that participants be undergraduates.)


 
 
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.)
 
Do you have any medical problems requiring special care?
 
If you are accepted to the SURB program, can you begin on the starting date? (Program requirement.)

Please rank your research preferences from first to last:

Animal Ecology
Cell Biology
Marine Biology
Mathematical Modeling of Biological Systems
Microbial Genomics
Molecular Biology
Plant Ecology and Physiology

Special Consideration

  • 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:


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