National Science Foundation anohu N A N O S C I E N C E TRANSFORMING STEM EDUCATION AT HAMPTON UNIVERSITY NanoHU Summer Research Opportunities for High School Students 2015 June 17, 2015 July 23, 2015 EARN up to $1,000 for the summer doing cool science research! Launch your career, get a head start on being the next PIONEER!!! Summer research opportunities are available for rising 10 th & 11 th graders at Hampton University. These opportunities are funded through the HBCU-UP ACE NanoHU Research Program Outreach Program, both funded by the National Science Foundation. Students will conduct research in Interdisciplinary Nanoscience. To apply, submit: 1. Completed application form 2. One page personal statement that discusses your career aspirations, and your reasons for wanting to pursue a career in science, engineering or technology 3. One page nanoscience essay 4. Three letters of recommendations: (1) one from School Counselor (2) one from a science teacher, and (3) one from a science or math teacher 5. Current academic transcript (3.0 GPA Minimum) *Applicants must be US citizens or permanent residents enrolled in a high school in the Hampton Roads area. This is a non-residential program. Over the summer, you will: Participate in cutting-edge research To learn more about NanoHU, visit http://nanohu.science.hamptonu.edu Submit complete application packets to: NanoHU Program Office Turner Hall, Room 110, Hampton University Hampton, VA 23668 OR E-mail to: nanohu@hamptonu.edu Application form available: http://nanohu.science.hamptonu.edu Applications due: April 23, 2015 (4:00pm) For further information contact: Mr. Roopchan Ramdon (757) 728-6705 (Funding provided by the National Science Foundation under cooperative agreement numbers HRD 1238838) Attend seminars Visit Science Laboratories Present the results of your research!!! Have complimentary lunch!!! Drop-off 8:30-9:00am; Pickup 4:30-5:00
National Science Foundation anohu N A N O S C I E N C E TRANSFORMING STEM EDUCATION AT HAMPTON UNIVERSITY NanoHU Summer Research Opportunities for High School Students 2015 Sponsored by: National Science Foundation (NSF) Program Date: June 17, 2015 July 24, 2015 Application Information Package: http://nanohu.science.hamptonu.edu 1. Program Description 2. Application Form 3. Names of Teachers Supplying Letters of Recommendation 4. Personal Statement 5. Nanoscience Essay 6. Transcript 7. Health Form E-mail complete application packets to: nanohu@hamptonu.edu OR mail / hand deliver to: Mr. Roopchan Ramdon NanoHU Program Office, Turner Hall, Room 110, Hampton University, Hampton, VA 23668 For further information contact: Mr. Roopchan Ramdon (757) 728-6705 To learn more about NanoHU, visit http://nanohu.science.hamptonu.edu
Program Description The School of Science at Hampton University is pleased to provide summer research opportunities for high school students in the Hampton Roads area. The Nanoscience Transforming STEM (Science, Technology, Engineering, Mathematics) Education at Hampton University (NanoHU) Program (funded by the National Science Foundation, or NSF), support a six-week (Mon-Fri) non-residential, researchintensive program where students are actively engaged projects in Interdisciplinary Nanoscience (NanoHU). The program aims to introduce participants to the practice of STEM-related, academic research in higher education. In so doing, active participants will learn about (1) emerging topics in science and technology that have global implications, and (2) the steps necessary to successfully contribute as professionals in the same. Students will conduct research under the supervision of a faculty research mentors, and go on field trips to local government laboratories (e.g. Thomas Jefferson National Accelerator Facility, NASA Langley, etc.). The summer program will culminate with a mandatory poster session where students will present the results of their summer research projects. Student participants may opt to continue their research throughout the subsequent academic year and are strongly encouraged to present their research results during the annual School of Science Research Day Symposium at Hampton University, which occurs during the spring semester. Components of Program include: Scientific research project with a faculty mentor Field trips to local government laboratories Guest speakers at seminars On-campus experiences Academic enrichment activity NanoHU Pioneers Program Benefits The program is fully funded by National Science Foundation with NO COST to the students Participants will receive a stipend of $1000 total ($333.33 every two-weeks) over the six-week period and upon successful completion of the program Research programs, workshops, field trips, lunch, and all activities are provided at NO COST to all program participants Knowledge of nanoscience, nanotechnology, interdisciplinary science, technology, engineering, mathematics (STEM) related careers Exposure to campus life and the history of Hampton University How to study workshops, aiming to improve student s academic record Opportunity to present research results Certificate of Completion awarded upon successful completion of the program Applicants must meet the following requirements Be a rising 10 th or 11 th grader at the end of the current academic school year Have a grade point average of greater than 3.0 Have successfully completed at least one course of high school algebra Have a strong interests in STEM disciplines (Science, Technology, Engineering, Math) Be committed to complete a six-week non-residential program on the campus of Hampton University Admission to the program is competitive and based on academic record, personal statement essay, and recommendations
Applicants must be a US Citizen or Permanent Resident Applicant must be enrolled in a High School in the Hampton Roads area How to Apply: 1. Completed application form 2. One page personal statement that discusses your career aspirations, and your reasons for wanting to pursue a career in science, engineering or technology 3. One page essay about nanoscience. Read briefly about nanoscience on the internet, and write a one page essay about (1) brief information from what you learnt about nanoscience (2) how could nanoscience affect your future. 4. Three letters of recommendations from individuals who are familiar with your character, abilities and accomplishments: i. One from School Counselor ii. One from a science teacher, iii. One from a science or math teacher 5. Current academic transcript (3.0 GPA Minimum) E-mail to: NanoHU@hamptonu.edu Or Mail / hand deliver completed application packet to: Mr. Roopchan Ramdon NanoHU Program Office Turner Hall, Room 110, Hampton University Hampton, VA 23668 Contacts Mr. Roopchan Ramdon Program Manager Phone: (757) 728-6705 E-mail: Roopchan.Ramdon@hamptonu.edu To learn more about NanoHU, visit http://nanohu.science.hamptonu.edu
Checklist for submission Competed Application Form Current Academic Transcript Personal Statement Essay Three Letters of Recommendation DO NOT SUBMIT THE FOLLOWING UNTIL ACCEPTANCE TO THE PROGRAM Medical Consent Form (ONLY submit upon acceptance of offer to participate in the program) Proof of Citizenship or Permanent Residency (ONLY submit upon acceptance of offer to participate in the program)
NanoHU Pioneers Application Summer 201 Student Information Name: Date of birth: / / Phone: Email: Home Address: Are you a US Citizen or Permanent Resident? Yes No Gender: (circle one): Male Female Education Current High School: What grade will you be in next academic year (201-201)? 10 th 11 th Other (explain) Overall GPA: GPA in Math/Science: List the science and math courses you have taken up to and including this spring (Attach additional sheet if necessary) List any Awards/Achievements/Organizations (Attach additional sheet if necessary) Parent/Guardian Information Name: Relation: Home Address: Home Phone: Cell Phone: Work #: In Case of Emergency, in addition to the person(s) listed above, contact: Name: Relation: Home Address: Home Phone: Cell Phone: Other Person(s) Authorized to pick-up child of the end of day:
Letters of Recommendation School Counselor Name: Title: School: email: phone: Science Teacher Name: Title: School: email: phone: Math or Science Teacher Name: Title: School: email: phone: Research Preference (Indicate 1 st, 2 nd, and 3 rd choice): Biological Sciences Chemistry Mathematics Other: Engineering Computer Science Physics Personal Statement / Essay Question: One page personal statement that discusses your career aspirations, and your reasons for wanting to pursue a career in science, engineering or technology. Transcript: ***Please attach*** Applicant Signature Date Parent/Guardian Signature (required) Date
DO NOT submit the medical forms until AFTER acceptance to the program. *Please bear in mind, the time period which a physical might to obtain from your doctor.
Parent Medical Consent Form PROGRAM NAME: Dear Parent(s) or Guardian(s): While your son/daughter is participating in the program and is physically involved in activities sponsored by the program, a limited amount of routine medical care is provided on a need basis. Also, in the event that emergency treatment is necessary for any reason, the Director needs your consent to approve of treatment and/or hospitalization. Name of Program Name of Program All costs incurred for medical treatment of participants will be the responsibility of the Parent(s) or Guardian(s). Sincerely, PLEASE FILL IN THE FORM BELOW: I,, give my consent for to receive the medical care available Parent(s)/Guardian(s) to students. In the event that emergency treatment is required and I am not available, I Name of Program give my consent for the Director, their representative or other HU official (i.e. Dean of Name of Program Men, Dean of Women, V.P. for Student Affairs, etc.) to approve of necessary treatment and/or hospitalization. I understand that such treatment will be at my expense. Student Signature Date Parent(s)/Guardian(s) - 2 -
IMMUNIZATION RECORD *Immunity is required prior to registration. Please complete and return this form. NAME TO BE COMPLETED AND SIGNED BY A HEALTH CARE PROVIDER (Dates must include month and year.) *A. TETANUS-DIPTHERIA (Required) 1. M Completed primary series of tetanus-diptheria immunizations... 2. M Received tetanus-diptheria booster (required every 10 years)... 3. M Tdap (preferred) to replace single dose of Td for booster immunization with at least five years since last dose of Td... *B. M.M.R. (Measles, Mumps, Rubella) (Required) 1. M Dose 1 Immunization date required at exactly 12 months or after and before 5 years... 2. M Dose 2 Immunized at 5 years or later... *C. MEASLES (Rubeola) if given instead of MMR. Check appropriate box. 1. M Has report of immune titer. Specify date and send copy of positive results... 2. M Immunized with live measles vaccine at 12 months after birth or later... *D. RUBELLA if given instead of MMR. Check appropriate box. 1. M Has report of immune titer. Specify date and send copy of positive results... 2. M Immunized with vaccine at 12 months after birth or later... *E. MUMPS if given instead of MMR. Check appropriate box. 1. M Has report of immune titer. Specify date and send copy of positive results... 2. M Immunized with vaccine at 12 months after birth or later... F. TUBERCULOSIS Interpretation based on mm of induration. Check appropriate box. *(Required of International Students Only) 1. M PPD (Mantoux) test within the past year (Tine or monovac not acceptable) Give date placed...date Give date read and results (based on millimeters)...date 2. M Positive PPD Chest x-ray required. Give date and result of chest x-ray...date 3. M Had BCG vaccine Chest x-ray required if PPD not done...date *G. POLIO (Required) 1. M Completed primary series of polio immunization... M Yes M No Type of vaccine: M Oral M Inactivated M E-IPV Last booster... *H. Meningococcal Meningitis (Required) LAST FIRST M. I. 1. M Menomune - Immunization and updates as per CDC guidelines... 2. M Menactra - (Conjugate) Immunization and updates as per CDC guidelines... Result: M Positive M Negative mm Result: M Positive M Negative I. M Hepatitis B Vaccine Series (Recommended or Waiver)... *(Required for Health Care Profession Students) HEALTH CARE PROVIDER Name Address Signature Phone ( ) HC (Revised 03/15)