UASRP is held during the beginning of June until the end of July.

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The University at Albany Summer Research Program (UASRP) is an 8 week residential program, where students are placed under the direction and guidance of faculty members and researchers from various institutions and agencies. UASRP is held during the beginning of June until the end of July.

University at Albany Summer Research Program (UASRP) Eligibility Requirements Applicants: Must be U.S. Citizen or Permeant Resident Must be a sophomore or junior as of July 2017 Must have a 2.7 GPA or higher Should have a genuine interest in research, and learning leading towards a Ph.D. We should follow NSF criteria students must be from: African American, Latino, Native American, Alaskan Native, Hawaiian Native, Native Pacific Islander(Polynesian or Micronesian), or economically disadvantage Must submit complete application by deadline of January 27 th, 2017 (see page 2 to 6) HOME INSTITUTION OF PREVIOUS SCHOLARS American University Claflin University Cornell University CUNY Dillard University Florida A & M Fordham University Lincoln University Long Island University Howard University Keane University Manhattanville College Mercy College Michigan State Norfolk State College Onondaga Community College RPI St. Lawrence University St. Rose College Siena College SUNY Genesee SUNY College of Environmental Science and Forestry SUNY New Paltz SUNY Old Westbury SUNY Plattsburgh SUNY Potsdam SUNY Purchase SUNY Stony Brook Syracuse University University Of Bridgeport Union College University at Albany Westchester Community College Page 1 of 6

University at Albany SUMMER RESEARCH PROGRAM Application Deadline: January 27 th, 2017 Please type or print clearly * All information requested is required Application Form Contact Information: University at Albany Summer Research Program -UASRP CONTACT INFORMATION Name: Campus Address: Home Address: City, State, Zip Code: Local/Mobile Phone: Home Phone: Email Address: ( ) - ( ) - ADDITIONAL INFORMATION Social Security #: Date of Birth: Sex: Ethnicity: United States citizen: Permanent Resident: (Yes/No) - - (Yes/No) Alien Registration Number: - ACADEMIC INFORMATION Do you currently attend UAlbany? If not, state the name of your institution. Academic status as of 7/17: (soph., jr) Major: Minor: Cumulative GPA: Do you intend to pursue a MD or PhD? If yes, in what field? (Yes/No/Undecided) Page 2 of 6

Please include the following with your application: A personal statement: This should be at least two pages double-spaced, Times New Roman, 12-point font, with one inch margins Describe the following: a) Any prior research experience. b) Your academic/career goals and your plans to reach them. c) If you have performed less than satisfactorily in any of your classes, please explain the circumstances. d) If there is anything else you wish to have the selection committee consider, please comment. A copy of your résumé I have included the following: Official transcript (copies are not accepted) Science Faculty or Major Faculty Reference # 1 Science Faculty or Major Faculty Reference # 2 Personal Statement Résumé Mail or Email application with all information requested to: University at Albany Summer Research Program -UASRP (Your application will not be complete until all items listed above are received.) The University at Albany Summer Research Program is designed to benefit qualified individuals who are in serious pursuit of advanced degrees in the area of science, technology, and engineering. I understand that if selected, I will be asked to present my research at the Buffalo McNair Conference in Niagara, NY. By signing below, I agree to participate in all aspects of the program. Applicant s Signature Date / / Page 3 of 6

UNIVERSITY AT ALBANY Application Form SUMMER Deadline: January 27 th, 2017 RESEARCH PROGRAM FACULTY EVALUATION FORM TO BE COMPLETED BY APPLICANT Name name middle last Email Phone ( ) - Under the Family Education Rights and Privacy Act, a student participating in the University at Albany Summer Research Program (UASRP) has access to his or her program file. The UASRP wishes to comply with this law, while still allowing the student to waive the right to access. If you wish to waive the right to examine this evaluation later, please sign here: Applicant s signature: TO BE COMPLETED BY EVALUATOR Date / / An application for admission to UASRP requires evaluations from two faculty members who are capable of judging the professional and academic promise of the applicant. Please return this evaluation in a sealed envelope, with your signature written across the seal, in time for the applicant to meet the following deadline: January 27 th, 2017. The evaluation should be returned to the following address: (Please print or type) Evaluator s Name: University at Albany -UASRP Title: Address: (College/University and Street Address) Telephone: ( ) - Email: In what capacity do you know the applicant? How long have you known the applicant? How does this applicant compare with her or his peer group in academic ability? Exceptional Outstanding Above avg. Avg. Below avg. Unable to Among the very Comparable to Top 25% High ability Lower 50% Eval. best you have known current students Note: If you would like to attach a letter of recommendation along with your evaluation, please feel free to do so. Signature Date / / Page 4 of 6

UNIVERSITY AT ALBANY Application Form SUMMER Deadline: January, 27 th, 2017 RESEARCH PROGRAM FACULTY EVALUATION FORM TO BE COMPLETED BY APPLICANT Name name middle last Email Phone ( ) - Under the Family Education Rights and Privacy Act, a student participating in the University at Albany Summer Research Program (UASRP) has access to his or her program file. The UASRP wishes to comply with this law, while still allowing the student to waive the right to access. If you wish to waive the right to examine this evaluation later, please sign here: Applicant s signature: TO BE COMPLETED BY EVALUATOR Date / / An application for admission to UASRP requires evaluations from two faculty members who are capable of judging the professional and academic promise of the applicant. Please return this evaluation in a sealed envelope, with your signature written across the seal, in time for the applicant to meet the following deadline: January 27 th, 2017. The evaluation should be returned to the following address: (Please print or type) Evaluator s Name: University at Albany -UASRP Title: Address: (College/University and Street Address) Telephone: ( ) - Email: In what capacity do you know the applicant? How long have you known the applicant? How does this applicant compare with her or his peer group in academic ability? Exceptional Outstanding Above avg. Avg. Below avg. Unable to Among the very Comparable to Top 25% High ability Lower 50% Eval. best you have known current students Note: If you would like to attach a letter of recommendation along with your evaluation, please feel free to do so. Signature Date / / Page 5 of 6