Application Form 2019

 

PERSONAL INFORMATION:

First Name            

Last Name            

Address (school)  

Email                    

Phone (school)     

Phone (home)      

Are you a US citizen or permanent resident (at the time of this application)?

US citizen
Permanent resident

(Note that only US citizens or permanent residents are eligible for the National Science Foundation REU program.)

 

PERSONAL STATEMENT:

1. Describe your motivation for participating in this program.


2. Describe your research experience and research interests (what kinds of problems do you like to work on).


3. Describe your academic and career goals.


4. How do you expect this REU experience to impact your education and career?


5. Do you currently plan to attend graduate school? (what school/major/degree)


 

EDUCATION BACKGROUND:

College(s) attended:    

State where your School resides:    

Major:    

Class as of September 1, 2019:

Sophomore
Junior
Senior

Expected graduation date :    --- mm/dd/yy

GPA                  

GPA in major   

Home Institution's highest degree granted in fields supported by NSF (associate degree, bachelor degree, master degree, doctoral degree):

 

TRANSCRIPT:

Both official and unofficial transcripts will be accepted.  Please mail your transcript to to the address at the bottom of this page.

PROGRAMMING BACKGROUND AND EXPERIENCE:

Please list courses taken, programming languages known, and any other relevant information.


 

REFERENCES:

Name of first faculty recommender        

Email of first faculty recommender         

Name of second faculty recommender  

Email of second faculty recommender   

(Recommendations should be mailed/emailed separately by faculty members to the address at the bottom of this page)  

 

DEMOGRAPHIC INFORMATION*:

Gender: (choose one)

Male
Female 

Ethnicity: (choose one)

Hispanic or Latino
Not Hispanic or Latino
Unknown

Race: (select one or more)

American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Pacific Islander
White

Disability Status: (select one or more)

Hearing Impairment
Visual Impairment
Mobility/Orthopedic Impairment
Other
None

First-generation college students: (choose one)

Yes
No

* Submission of demographic information is voluntary. 

ALL APPLICATION MATERIALS (transcripts and 2 recommendation letters) MUST BE MAILED AND POSTMARKED BY March 6, 2019.  THIS ONLINE APPLICATION MUST BE ALSO COMPLETED BY March 6, 2019, IN ORDER TO BE CONSIDERED FOR THE SUMMER PROGRAM 2019.  

 

Post applications/transcripts/recommendation letters to:
MedIX REU Program c/o Daniela Stan Raicu, Professor
DePaul University

College of Computing and Digital Media (CDM)

Loop Campus, Office 718

243 S. Wabash Ave,

Chicago, IL 60604, USA

 

For any questions regarding the application, please email to Dr. Raicu at dstan@cdm.depaul.edu or to Dr. Furst at jfurst@cdm.depaul.edu

 

 

 
Webmaster Daniela Stan: dstan@cdm.depaul.edu
Last modified: January 11, 2019