Summer Research Fellowship Application

Name *

Student ID *

Student Email Address *

Student Phone Number *

Student Address *

Major *

Major Advisor *

Proposed Research Advisor *

GPA *

Please answer the following: *

	Yes	No
Are you a citizen or permanent resident of the United States? *	Are you a citizen or permanent resident of the United States? - Yes	Are you a citizen or permanent resident of the United States? - No
Are you a current research fellow? (Mellon Mays, HHMI, ....) *	Are you a current research fellow? (Mellon Mays, HHMI, ....) - Yes	Are you a current research fellow? (Mellon Mays, HHMI, ....) - No
Are you applying for funding concurrently? (Mellon Mays, HHMI, ....) *	Are you applying for funding concurrently? (Mellon Mays, HHMI, ....) - Yes	Are you applying for funding concurrently? (Mellon Mays, HHMI, ....) - No

IF YOU HAVE CURRENT FUNDING, PLEASE INDICATE SOURCE: *

WHICH PHYSICS AWARDS ARE YOU ELIGIBLE FOR? *

Undergraduate Physics Fellowship

Open Pathways Fellowship *

Greg Delos Fellowship

Dr. Luszczynski Fellowship

McDonnell Center Fellowship

*If you identify as African American, Hispanic American, American Indian, Alaska Native, Native Hawaiian or other Pacific Islander

DESCRIBE IN DETAIL THE PROPOSED SUMMER RESEARCH PROJECT *

Limit your description to ~1000 words

In addition to this application, please remember to submit your unofficial transcript (student record printout) to ugresearch@physics.wustl.edu and request that your advisor fill out the Mentor Nomination Form.

I certify that the answers and statements contained in this submission are true to the best of my knowledge. By submitting this form, I agree to NOT participate in summer employment or courses if awarded a stipend. All additional grants and stipends will also relate to the same research project and must only cover additional costs not covered by this grant. In addition, I agree to submit an abstract of my work to the Office of Undergraduate Research.

Leave this field blank

Math question * 2 + 16 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.