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Application Form2012

1) The document is an application for the University of Georgia's 2012 Summer Undergraduate Fellowships in Genetics program, which runs from June 4-July 28. Applications are due by March 16. 2) A complete application includes a completed two-page application form, a personal statement, an official transcript including Fall 2011 grades, and two letters of recommendation from faculty. 3) The application form requests contact information, demographic information, academic references, current college/university information, research interests, and a personal statement on career goals and research experience.

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58 views3 pages

Application Form2012

1) The document is an application for the University of Georgia's 2012 Summer Undergraduate Fellowships in Genetics program, which runs from June 4-July 28. Applications are due by March 16. 2) A complete application includes a completed two-page application form, a personal statement, an official transcript including Fall 2011 grades, and two letters of recommendation from faculty. 3) The application form requests contact information, demographic information, academic references, current college/university information, research interests, and a personal statement on career goals and research experience.

Uploaded by

hongtran_ft887650
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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University of Georgia Summer Undergraduate Fellowships in Genetics (SUNFIG) 2012

June 4 July 28, 2012


Applications are due by March 16, 2012, to

SUNFIG Director
Department of Genetics
University of Georgia
Athens, GA 30602
(706) 542-8000

A complete application includes:


1) This two page form with all items completed.
2) A short personal statement describing your career plans, reasons for applying for this program, areas of
potential research interests, and past research and laboratory experience.
3) An official transcript including grades from Fall 2011.
4) At least two letters of recommendation from academic faculty, sent directly to the address above. You may
have additional letters sent, particularly from research advisors.
Please print clearly or type.
Name _____________________________________________________________________________
Last name
First
Middle
Name you prefer to be called
______ U.S. citizen

______ U.S. permanent resident

______ Other _____________________

______ Male

______ Female

Permanent address:

_________________________________________________________________
Street
_________________________________________________________________
City, State, ZIP
________________________________
(Area code) Telephone number
________________________________
Social Security Number (optional)
________________________________
email address, if available (please print clearly)

Parents/Guardian

_________________________________________________________________
Last name
First
Middle Relationship
_________________________________________________________________
Street
_________________________________________________________________
City, State, ZIP
________________________________
(Area code) Telephone number

Ethnicity (optional):

______ Native American/Alaskan Native


______ Hispanic/Mexican American
______ Black/African American

______ Caucasian
______ Pacific Islander
______ Asian/Indian

______ Other (please specify):


_______________________

Academic references (please have reference letters sent directly)


Name________________________________

Name________________________________

Title_________________________________

Title_________________________________

Telephone ____________________________

Telephone ____________________________

Name of the College/University you are now attending ______________________________________


Address at school, if different from permanent address (where you will be contacted if accepted)
_________________________________________________________________
Street
_________________________________________________________________
City, State, ZIP
________________________________
(Area code) Telephone number

Present educational level:

______Junior
______Other:_________________________________

Expected graduate date (month/year):_______________________________________


Current GPA ____________
Do you plan to attend graduate school?
If yes, for what degree(s)?

_______Yes
_______No
_______M.S.
_______Ph.D.
_______Ph.D. and M.D.
_______M.D.

Using the enclosed sheet from the Peterson's Guide that describes faculty research interests, please list at least 6
faculty members in whose lab you would like to work. (You can also examine UGA Genetics Department
faculty research interests on the World Wide Web, http://www.genetics.uga.edu).
1. ______________________________________
2. ______________________________________
3. ______________________________________
4. ______________________________________
5. _____________________________________

6. ______________________________________
On a separate page, write a short personal statement describing your career plans, reasons for applying for this
program, areas of potential research interests, and past research and laboratory experience.

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