Princeton University Laboratory Learning Program. Application Instructions:

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1 Princeton University Laboratory Learning Program Application Instructions: Name and Contact Information section must be completed for the application to be processed. You must also certify that you meet all eligibility criteria in the Certification section of the application. Completed applications submitted by US mail must be postmarked by March 15, 2018 and submitted to: The Office of the Dean for Research RE: Laboratory Learning Program Princeton University 91 Prospect Avenue Princeton, NJ 08540

2 Laboratory Learning Program 2 Name and Contact Information First Name: Middle Name: Last Name: Street: City: State: Zip Code: Date of Birth (mm-dd-yyyy): Address: Home Phone: Mobile Phone: Certification I certify that I meet all eligibility criteria: I will be 16 years of age or older by June 15, 2018; I will be enrolled in a high school in the fall of 2018; and I am a US citizen, legal permanent resident or in the US attending high school. I certify that all information submitted in the admission process including the application, the short essays, any supplements, and any other supporting materials is my own work, factually true, and honestly presented. I understand that all offers of acceptance are conditional, pending satisfactory completion of training and responsible conduct throughout the learning opportunity. Program Choice Students should state a preference for working in particular areas of research. However, we cannot guarantee that specific preferences will be met. For a listing of research areas, we encourage you to visit the Research Opportunities section of the Laboratory Learning Program Website [research.princeton.edu/students/researchopportunities/current-openings/]. Please be advised that decisions regarding placement in laboratories is exclusively made through the Laboratory Learning Program at the Dean for Research Office, so students should not secure their own lab arrangements. Doing so could jeopardize consideration for acceptance into the LLP.

3 Laboratory Learning Program 3 **Please make up to two choices. Your application will go into the pool with all other applicants with the same selection, and be reviewed by the selection committee

4 Laboratory Learning Program 4 Short Answer Questions Please answer the following questions in no more than 200 words each. 1. What do you hope to get out of a research experience at Princeton? 2. Do you have any previous laboratory/research experience? If yes, what did you learn? If no, what science classes or other related activities have you done and what did you learn about research? 3. If you are selected, what do you hope to contribute to the research team?

5 Laboratory Learning Program 5 Student Academic Goals What colleges or universities do you intend to apply to? What are your career interests? Availability Date available to start (mm-dd-yyyy): End Date (mm-dd-yyyy): Please List exceptions (i.e. Dates between the start and end date that you will not be available): High School Information High School Name: Grade Point Average: City, State, Zip: Expected Date of Graduation (mm-yyyy): Science Classes (and other related activities)

6 Laboratory Learning Program 6 List one reference from a teacher or an administrator from your school. *If you are considered for an opportunity, we may contact this reference. First Reference Name: Title: Address: Phone Number: Parent/Guardian Information * is our primary form of communication. Please inform us if you change your address after submitting application. First Name: Last Name: Street: City: State: Zip Code: Address: Home Phone: Mobile Phone: _ Relatives working at Princeton Do you have any relatives who are currently employed at Princeton University? If yes, indicate the name of relative and his/her department below. Name: Department:

7 Laboratory Learning Program 7 Citizenship Program is opened to US Citizens, Legal Permanent Resident (LPR), and international students currently in the United States attending a U.S. high school. Citizenship U.S. Citizen U.S. Permanent Resident Other Citizen of: Before submitting this form, please review your application thoroughly and make sure all required sections have been filled in completely and accurately. You will not have the opportunity to make any changes to your application after submitting this form. Please note that admission into this program does not imply any commitment on the part of Princeton University for admission into the college. Princeton University does not discriminate on the basis of age, race, color, sex, sexual orientation, gender identity, religion, national or ethnic origin, disability, or veteran status in any phase of its employment process, in any phase of its admission or financial aid programs, or other aspects of its educational programs or activities.

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