Summer Undergraduate Research Program Application


This form contains essay questions.
We suggest you complete those in a word processor first and then copy & paste them into the form. Please limit your essays to 700 words each.
Submission of this form is final.
* = required
First Name *   MI Last Name *
SSN *
 
Current Address
Address *
City *
State *
Zip *
Phone *
Email *
Permanent Address
Address *
City *
State *
Zip *
Phone *
Email *

College/University you are currently attending *

Expected graduation date *(mm/yyyy) Degree expected *
Major * Overall GPA *
Date of birth (mm/dd/yyyy) Gender Male Female
Ethnicity/Race *
Country of residence *
Country of citizenship*
Permanent Resident Alien
(Green Card) Number, if applicable

References

Two faculty references and official transcripts from each institution attended are required. Official transcripts must be sent directly from the institution. Letters of reference should be mailed to:
Debbie Shoemaker
MUSC College of Graduate Studies
173 Ashley Ave - BSB 102
PO Box 250501
Charleston, SC 29425
or faxed to:
843-792-6590

If you are a permanent resident of the United States, or here on a Visa, a copy of the Permanent Resident ID (Green Card) or Visa must be sent to the above address or your application will be considered incomplete.

On the line below, please indicate the name of the faculty members, title and department from which you are requesting letters of reference *


Can you begin your summer research project on the first week of June?
Yes
No When can you begin your project?

Do you need assistance in finding housing? Yes No

Research Interests

In order of preference, indicate 3 to 5 research areas that interest you.
For more information on these areas, visit our Department and Programs page.

1) *
2) *
3) *
4)
5)

* What are your educational goals?
* What are your Career Goals?

Honors / Accomplishments / Memberships

Please list relevant honors, accomplishments and memberships. (limit: 700 words)

Personal Statement

Explain your reasons for applying. (limit: 700 words) *


Describe your career goals. (limit: 700 words) *


How will this experience fit these goals? (limit: 700 words) *


Describe any past experiences which have lead you to your interest in research
and in specific areas of reaserch offered at MUSC. (limit: 700 words) *