Neuroscience Research First Program Application

Name *

First

Last

Email Address *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

High School *

HS Chemistry Teacher *

HS Biology Teacher *

HS Physics Teacher *

High School GPA *

SAT Math (optional)

SAT Verbal (optional)

List the courses that you have completed in biology *

List the courses that you have completed in chemistry *

List the courses that you have completed in math *

List the courses that you have completed in physics *

Please list any other relevant coursework *

Science interests & possible career plans: discuss why you are interested in science and what career path you might be considering. *

What experiences have you had that has prepared you for spending time in one of our research groups? (your comments can include certain topics covered in classes, specific hands-on activities or labs, internships, jobs, summer camps, science fair projects, etc.) *

How did you hear about Research First? *

Research First experiences are typically scheduled during June & July. Additional details for the upcoming summer are forthcoming; specific research areas may be subject to change. Please indicate your first choice of potential research area: *

Chemical sensors and Biosensors
Chemical synthesis
Computational nuclear physics
Inorganic/organometallic/biomedical materials
Polymer chemistry (physics and engineering)
Protein & enzyme biochemistry
Water quality testing & remediation
The effects of the spotted lanternfly invasion on insect community composition and forest understory structure
The effects of alcohol on traumatic brain injury

Please Indicate your second choice here. *

Chemical sensors and Biosensors
Chemical synthesis
Computational nuclear physics
Inorganic/organometallic/biomedical materials
Polymer chemistry (physics and engineering)
Protein & enzyme biochemistry
Water quality testing & remediation
The effects of the spotted lanternfly invasion on insect community composition and forest understory structure
The effects of alcohol on traumatic brain injury