CheMIE REU Application : Chemistry & Biochemistry : Texas State University

First Name *

Middle Initial

Last Name *

Street Address *

City *

State *

Zip *

Phone *

Street Address

City

State

Zip

Phone

If you are accepted to the program, where will you be travelling from? *

Local address (college/university)

Permanent home address

Personal Email Address *

School Email Address *

Date of Birth *

College or University currently enrolled *

Major *

Expected Graduation Date *

Current GPA (On a 4.0 Scale) *

Gender *

Male

Female

Race (Choose 1 or more)

American Indian

Alaskan Native

Asian

Black or African American

Caucasian

Native Hawaiian or Pacific Islander

Ethnicity *

Residency Status *

U.S. Citizen

Permanent Resident

Other

If other, please describe

Will you be the first in your family to graduate from college? *

Yes

No

Chemistry *

Biochemistry *

Material/Polymer Science *

What careers are you considering? (100 words or less) *

Summarize any past or current laboratory experience. (200 words or less) *

Explain why you wish to participate in the summer CheMIE REU program at Texas State University (250 words or less)

Please upload a copy of your transcript *

CheMIE REU Application

Name

Local Address where you attend college/university

Permanent Home Address

Your Information

Questions

Interests

Letters of Recommendation