2012 SURI Application Form

In addition to the online application, students must also submit:

  • an official copy of all college transcripts
  • two letters of recommendation
  • a copy of your c.v.  (see details)
     

All application materials should be received by February 1, 2012



Applicant Information

Note: All applicants must be U.S. citizens or provide proof of legal authorization to work in the U.S. for the entirety of the program.

First Name:
Middle Initial:
Last Name:
Gender:
Contact Information
Street:
City:
State:
ZIP:
Phone:
(-
Your Email:
College/University (in U.S. only)
Institution:
Major:
Minor:
GPA:
Year Completed:
(As of May 2011)
Note: If year completed is 4th or later, please contact the Center administrator before applying.
Expected Graduation:
(mo/yr)
Internships

Have you participated in a research internship program at another institution? If so, cite name of all programs, institutions, and dates attended (mo/yr–mo/yr):

What kind of graduate program do you plan to pursue?
How did you first hear of the SURI Program?
If referred by someone, by whom?
Projects

Please provide a statement (no more than 300 words) indicating your interest in research and this internship program. Describe specific courses or experiences that may have prepared you for this training opportunity. Include information regarding your career goals.