Copy of 2020 Application for Summer Undergraduate Research Fellowships in Sustainable Chemistry at the University of Cincinnati

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. The name of your College or University you are currently attending

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* 4. Please provide your College or University mailing address

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* 5. Please provide your school telephone number (include area code). If you do not have one, enter "none".

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* 6. What is your major?

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* 7. What is your minor (if any)?

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* 8. What is your planned graduation date?

2020

2021

2022

2023

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* 9. Please provide your home mailing address

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* 10. Please provide your home telephone number (include area code). If you do not have one, enter "none".

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* 11. Please provide a cell phone number (include area code). If you do not have one, enter "none".

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* 12. Please provide an Email address

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* 13. Are you either a U.S. citizen or a permanent resident of the U.S.?

Yes

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* 14. Please provide your date of birth

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* 15. Please provide your race/ethnicity (optional, for aggregate data reporting purposes only)

White, non-Hispanic

Black, non-Hispanic

Hispanic

Asian/Pacific Islander

American Indian/Alaskan Native

Not reporting data

Other (please specify)

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* 16. Date School Ends (Spring):

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* 17. Date School Begins (Fall):

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* 18. Indicate the number of semesters/quarters completed by the start of summer in each of the following areas:

	Analytical	Biochemistry	Inorganic	Organic	Physical
# Semesters/Quarters	# Semesters/Quarters Analytical menu	# Semesters/Quarters Biochemistry menu	# Semesters/Quarters Inorganic menu	# Semesters/Quarters Organic menu	# Semesters/Quarters Physical menu

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* 19. Do you have experience in conducting undergraduate research?

Yes

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* 20. If yes, describe (you might cut and paste this information if you wish):

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* 21. Faculty preference (1st choice):

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* 22. Faculty preference (2nd choice):

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* 23. Faculty preference (3rd choice):

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* 24. Faculty Other Choice, from departmental website (fill in only if you chose "Other" in 1st choice above):

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* 25. Present plans after graduation:

Graduate School

Medical School

Work

Other

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* 26. Please write a paragraph or two about why you would like to participate in Summer Undergraduate Research at the University of Cincinnati (you might cut and paste this information if you wish):

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* 27. Additional Comments:

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* 28. Letters of Recommendation: Please have two (2) letters of recommendation sent by email to ucchemreu@gmail.com. Letters should be from people who are familiar with your scholastic or technical abilities. Please supply the names and email addresses of the people who will be writing recommendations. Please note that your letter writers will not get an automatic email requesting them to provide a letter.

Recommender 1:

Email address:

Recommender 2:

Email address

TRANSCRIPTS: Please send a copy of your college transcripts including your Fall 2019 grades (a Xerox is acceptable or scanned image or electronic grade report) to ucchemreu@gmail.com

REU Website: http://www.artsci.uc.edu/departments/chemistry/undergraduate-programs/research-experiences-for-undergraduates.html

All materials MUST be received by February 28, 2020.