Summer Research Fellowship 2007 Application
Student Application
This form contains
essay questions
.
We suggest you complete those in a word processor first and then copy and pase them into the form.
Submission of this form is final.
*
= required
I. Demographic Information
First Name
*
MI
Last Name
*
SSN
*
Date of birth
(mm/dd/yyyy)
*
Gender
Male
Female
*
Ethnicity/Race
White, Non-Hispanic
African American, Non-Hispanic
Hispanic
Pacific Islander
Alaskan Native
Asian
American Indian
Other
*
Current Address
Address
*
City
*
State
*
Zip
*
Current Phone
*
Alternate Phone
E-mail Address
*
US Citizen
Yes
No
*
College
College of Dental Medicine
College of Health Professions
College of Medicine
College of Nursing
College of Pharmacy
University of South Carolina School of Medicine
Other
*
Classification
1st Year
2nd Year
3rd Year
4th Year
*
Current Major/Field of Study
*
Expected Date of Graduation
(mm/yyyy)
*
Current Cum GPA
*
(You must submit a current MUSC transcript to verify the GPA)
GPA Comments
Student Publications
(include complete references, publications and abstract titles, if applicable)
I will be available to work in the lab from June 2, 2008 through August 8, 2008.
Yes
No
*
II. Sponsor Information
Sponsor Name
*
Sponsor Department
*
Sponsor E-mail
*
III. Project Information
Project Title
*
Student Project Objectives
*
(Briefly state Project Objectives)
Student Project Background
*
(Summarize previous studies in the field and in the sponsor's laboratory and point out where additional studies - especially your proposed work - would add significantly to knowledge in the field)
Student Project Specific Aims
*
(Outline exactly what you propose to do during the summer with some brief experimental details)