Online Application
Contact Information
First Name(s):
Middle Name/Initial:
Last Name/Surname:
Full Name (as you usually use it):
Other Names (like nickname or if you go by your middle name):
Current Mailing Address:
Current Mailing Address (second line, if necessary):
City:
State:
ZIP Code:
Please select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Permanent Mailing Address (if different from above):
Permanent Mailing Address (second line, if necessary):
City:
State:
ZIP Code:
Please select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
E-mail Address(es)
required
:
Confirm E-mail Address(es)
required
:
Primary Phone Number:
Secondary Phone Number:
Webpage: (if applicable)
Academic Preparation
General Information
Home institution (name of your current college or university):
Academic department (name of your home department):
Location of home institution (city, state of your current college or university):
Class Standing:
Freshman
Sophomore
Junior
Senior
Expected Bachelor's degree graduation date (month and year):
Major(s):
Minor(s)/concentration(s) (if applicable):
Number of Credits Completed (including all credits anticipated to be completed by June):
Current GPA (on a 4.0 scale):
SAT Score (if applicable):
Year SAT Taken:
ACT Score (if applicable):
Year ACT Taken:
Mathematics and Statistics Preparation
Calculus (highest-level course completed):
Course Number and Title:
Textbook (Author and Title):
Number of Credits:
Semester and Year Taken:
Grade:
Linear Algebra (highest-level course completed):
Course Number and Title:
Textbook (Author and Title):
Number of Credits:
Semester and Year Taken:
Grade:
Statistics (highest-level course completed):
Course Number and Title:
Textbook (Author and Title):
Number of Credits:
Semester and Year Taken:
Grade:
Programming (highest-level course completed):
Course Number and Title:
Textbook (Author and Title):
Number of Credits:
Semester and Year Taken:
Grade:
Additional Courses:
Provide similar information about additional significant courses you have taken within your major(s), minor(s), and/or application area(s).
Previous Research Experience
In case you have prior research experience, please list briefly some information including title of project, duration, and supervisor's name and contact information.
Letters of Recommendation
Please provide the name of, contact information for, and relationship to the two persons who will be writing your letters of recommendation.
First Reference:
Title:
First Name(s):
Last Name/Surname:
Dr.
Mr.
Ms.
E-mail Address(es):
Primary Phone Number:
Secondary Phone Number:
Mailing Address:
Mailing Address (second line, if necessary):
City:
State:
ZIP Code:
Please select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Webpage: (if applicable)
Relationship:
Second Reference:
Title:
First Name(s):
Last Name/Surname:
Dr.
Mr.
Ms.
E-mail Address(es):
Primary Phone Number:
Secondary Phone Number:
Mailing Address:
Mailing Address (second line, if necessary):
City:
State:
ZIP Code:
Please select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Webpage: (if applicable)
Relationship:
Additional Information
Funding Support:
Are you applying for funding from our program:
Yes
No
The funding that we have for the program is from U.S. government sources that require U.S. citizenship or permanent resident status; we cannot waive this requirement for funding of your participation. But there may be slots for participants with other funding, therefore we accept applications without funding request. If you are
not
applying for funding from us (i.e., you answer
No
to the question above), please explain how you plan to fund your participation.
Residency Status:
U.S. Citizen
Permanent Resident
Other (type status in the box to the right)
Demographic Information:
Age:
Race/Ethnicity:
Gender:
Male
Female
Disability:
Yes
No
Non-traditional student (did not start college immediately after high school):
Yes
No
First-generation college student (first in immediate family to attend college):
Yes
No
Military veteran:
Yes
No
Have you applied to our REU Site before?
Yes
No
How did you find out about this REU Site program?
o
I am willing to live in UMBC campus housing and devote full attention to the REU program and participate in all activities without being engaged in any other employment. I am able to arrive on move-in day (the Sunday before the program starts) and stay on campus for the duration of the program.
o
This REU Site stresses the use of team work and collaboration with mentors throughout its program. I am willing to participate actively in team work by asking for, giving, and receiving feedback from team members and mentors.
o
If selected for the short list of applicants, I will supply a transcript of college courses and proof of U.S. citizenship or permanent residency to prove eligibility for the funding.
I accept all of these requirements.