WELCH SCHOLARS RESEARCH PROGRAM APPLICATION FORM

Department of Chemistry and Biochemistry

Summer 2006

 

 

Name: ______________________________________________________

 

SU Box Number: ______________   e-mail:_________________________

 

Home Address:  _______________________________________________

 

1.  List the science courses you have taken at SU and the grades you earned.  Also, list the classes you are now taking.

 

 

 

 

 

 

 

 

 

2.  Do you have college credit for science classes from another university?  If yes, please list the courses and grades you earned.

 

 

 

 

 

 

3.  What is your major at SU? ____________________ Minor? ____________________

 

4.  Status (1st year, SO, JR, SR) _____________________ Cumulative GPA __________

 

5.  When do you expect to graduate? _____________

 

6.  If you are a chemistry/biochemistry major, how do you plan to satisfy your capstone requirement?

 

 

 

7.  What fields of chemistry research are most interesting to you? 

 

1) _____________________                          2) _____________________

 

3) ______________________                        4) _____________________

 

8.  With which faculty members do you plan to schedule an interview?  Please make an appointment with the professors you want to talk to before Wednesday, February 1st (you can set up your appointment over e-mail – plan for the interview to take ~ 15-20 min).  You should complete all interviews by Wednesday, February 8th.

 

 

 

 

 

 

9.  With which faculty member(s) would you like to do your research?  Place their names in rank order.

 

1)      ____________________________

 

2)      ____________________________

 

3)      ____________________________

 

 

10.  Are you applying to any other research programs this summer (e.g., NSF REU sites)?  If yes, where are you applying?  Do you prefer a research experience at SU or another university?

 

 

 

 

 

11.  On a separate page, write a short essay about your scientific interests.  In your essay, explain how doing research will complement your educational and professional goals.

 

 

 

Return your completed application to Dr. Niemeyer by Monday, February 13th, 2006.  We hope to select the participants and notify applicants of the decisions by February 20th, 2006.