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• Your Gender: 

   FemaleMale

• Permanent Address (like you would type it into Google Maps: 500 University Ave., Riverside, CA 92521) 

   

• Permanent Address: any prefixes such as Apt. 4 or c/o John Smith 

• Cell Phone (or other phone number to reach you) 

• Place you will stay at during REU program. Please enter like you would type it into Google Maps. Please ensure that it is within 30min of driving to UCR as displayed by Google Maps. If you will use the (near) campus option suggested by the program, please enter UCR. This is the oonly option that will entitle you to a housing supplement that will largely defray any housing costs. 

• Birth City 

• Birth State/Province/Region 

• Birth Country 

• Status US CitizenPermanent ResidentOther
  If Other, please detail in the first statement.
• College Affiliations (past or present) in addition to the one indicated in the application; list all and describe in your 2nd statement. 

• Current or First Major 

• GPA in above 

• Past or Second Major 

• GPA in above 

• Units completed by end of Spring before REU program 

• Degree objective at current college (e.g., BA, BS, ...) 

• Expected graduation semester/quarter/term at current college (e.g., Spring 17). 

• List names of colleges attended before current college (explain in second statement). 

• Standing as of end of Spring before REU program. 

   FreshmanSophomoreJuniorSenior  

• Name/Location of High School and operating district/company/foundation (e.g., North High School, Riverside, CA (Riverside Unified School District) ) 

• Primary language spoken in your home? 

• Marital Status SingleMarriedDivorced/Seperated/Spouse Deceased
• Number of children/minor dependents. 

• Number of siblings. 

• Years lived in the US (please enter 99, if you lived all your life in the US). 

• Father's Full Name FirstLast
• Mother's Full Name FirstLast
• Father's Date of Birth  /MM /DDYYYY
• Mother's Date of Birth  /MM /DDYYYY
• Father's Highest Education No Formal Education CompletedCompleted Elementary SchoolCompleted Middle School (Grade 8)Completed High SchoolCompleted 2yr College or Associate DegreeCompleted 4yr CollegeMastersPh.D. or M.D. or similar
• Mother's Highest Education No Formal Education CompletedCompleted Elementary SchoolCompleted Middle School (Grade 8)Completed High SchoolCompleted 2yr College or Associate DegreeCompleted 4yr CollegeMastersPh.D. or M.D. or similar
• Father's occupation 

• Mother's occupation 

• Your Ethnic Information (Strongly Encouraged) African AmericanJapanese AmericanNative American (continuous 48 States, not in California)Chicano/Mexican AmericanCaucasian (including Spain/Portugal)FilipinoPolynesian/MicronesianEast Indian/PakistaniKorean AmericanChinese AmericanVietnamese AmericanMiddle EasternHispanic/Latino Middle AmericanHispanic/Latino South AmericanAlaskan Native / InuitHawaiian NativeNative American of Tribe/Nation on Californian Lands
• Your Father's Ethnic Information (Strongly Encouraged) African AmericanJapanese AmericanNative American (continuous 48 States, not in California)Chicano/Mexican AmericanCaucasian (including Spain/Portugal)FilipinoPolynesian/MicronesianEast Indian/PakistaniKorean AmericanChinese AmericanVietnamese AmericanMiddle EasternHispanic/Latino Middle AmericanHispanic/Latino South AmericanAlaskan Native / InuitHawaiian NativeNative American of Tribe/Nation on Californian Lands
• Your Mother's Ethnic Information (Strongly Encouraged) African AmericanJapanese AmericanNative American (continuous 48 States, not in California)Chicano/Mexican AmericanCaucasian (including Spain/Portugal)FilipinoPolynesian/MicronesianEast Indian/PakistaniKorean AmericanChinese AmericanVietnamese AmericanMiddle EasternHispanic/Latino Middle AmericanHispanic/Latino South AmericanAlaskan Native / InuitHawaiian NativeNative American of Tribe/Nation on Californian Lands
• Oldest Sibling Date of Birth  /MM /DDYYYY
• Oldest Sibling Highest Education No Formal Education CompletedIn progress/Completed Elementary SchoolIn progress/Completed Middle School (Grade 8)In progress/Completed High SchoolIn progress/Completed 2yr College or Associate DegreeIn progress/Completed 4yr CollegeIn progress/Completed MastersIn progress/Completed Ph.D. or M.D. or similar
• Second Oldest Sibling Date of Birth  /MM /DDYYYY
• Second Oldest Sibling Highest Education No Formal Education CompletedIn progress/Completed Elementary SchoolIn progress/Completed Middle School (Grade 8)In progress/Completed High SchoolIn progress/Completed 2yr College or Associate DegreeIn progress/Completed 4yr CollegeIn progress/Completed MastersIn progress/Completed Ph.D. or M.D. or similar
• Third Oldest Sibling Date of Birth  /MM /DDYYYY
• Third oldest Sibling Highest Education No Formal Education CompletedIn progress/Completed Elementary SchoolIn progress/Completed Middle School (Grade 8)In progress/Completed High SchoolIn progress/Completed 2yr College or Associate DegreeIn progress/Completed 4yr CollegeIn progress/Completed MastersIn progress/Completed Ph.D. or M.D. or similar
• Fourth Oldest Sibling Date of Birth  /MM /DDYYYY
• Fourth Oldest Sibling Highest Education No Formal Education CompletedIn progress/Completed Elementary SchoolIn progress/Completed Middle School (Grade 8)In progress/Completed High SchoolIn progress/Completed 2yr College or Associate DegreeIn progress/Completed 4yr CollegeIn progress/Completed MastersIn progress/Completed Ph.D. or M.D. or similar
• Have you participate in any of the following (describe in second statement)? Summer research at your current collegeSummer research at your past collegeAcademic-year non-course research at your current collegeAcademic-year non-course research at your past collegeSenior or Honors research projectSummer research programs at a different university (e.g., like this REU Site)Summer research in industry
• If your took the GRE, what are your results ?

• If your took the MCAT, what are your results ?

• If your took the LSAT, what are your results ?

• If your took the DAT, what are your results ?

• Which standardized tests do you plan to take (also check, if you took them already but do not have any results yet)? GREMCATLSATDATOther Tests
• Do you plan to apply to a graduate program ? Please explain further in your third statement. NoMaybe I want to apply to a Masters program because it will be the best fit for my career goal.Maybe I want to apply to a Masters program because it will be the best fit for my career goal.Maybe I want to apply to a Masters program. I am not sure I can handle a Ph.D. prgram.Maybe I want to apply to a Masters program. I am not sure I can handle a Ph.D. prgram.I want to apply to a Masters program because it will be the best fit for my career goal.Maybe I want to apply to a Ph.D. program because it will be the best fit for my career goal.I want to apply to a Ph.D. program because it will be the best fit for my career goal.Other
• Please highlight a few courses (up to five) that you took and that we should particularly consider with your application. 
• Course Number (e.g., Chem 110B) 

• Course Title (e.g., Statistical Mechanics and Kinetics) 

• Course Instructor (e.g., Professor Ludwig Bartels) 

• Term Taken (e.g., Winter 14) 

• Grade Obtained (e.g., B+) 

• Your standing while taking the course 

   FreshmanSophomoreJuniorSenior  

• Institution you took the course at (leave blank, if this is the same institution you will/do attend the Spring before REU program) 

• Course Number (e.g., Chem 110B) 

• Course Title (e.g., Statistical Mechanics and Kinetics) 

• Course Instructor (e.g., Ludwig Bartels) 

• Term Taken (e.g., Winter 14) 

• Grade Obtained (e.g., B+) 

• Your standing while taking the course 

   FreshmanSophomoreJuniorSenior  

• Institution you took the course at (leave blank, if this is the same institution you will/do attend the Spring before REU program) 

• Course Number (e.g., Chem 110B) 

• Course Title (e.g., Statistical Mechanics and Kinetics) 

• Course Instructor (e.g., Ludwig Bartels) 

• Term Taken (e.g., Winter 14) 

• Grade Obtained (e.g., B+) 

• Your standing while taking the course 

   FreshmanSophomoreJuniorSenior  

• Institution you took the course at (leave blank, if this is the same institution you will/do attend the Spring before REU program) 

• Course Number (e.g., Chem 110B) 

• Course Title (e.g., Statistical Mechanics and Kinetics) 

• Course Instructor (e.g., Ludwig Bartels) 

• Term Taken (e.g., Winter 14) 

• Grade Obtained (e.g., B+) 

• Your standing while taking the course 

   FreshmanSophomoreJuniorSenior  

• Institution you took the course at (leave blank, if this is the same institution you will/do attend the Spring before REU program) 

• Course Number (e.g., Chem 110B) 

• Course Title (e.g., Statistical Mechanics and Kinetics) 

• Course Instructor (e.g., Ludwig Bartels) 

• Term Taken (e.g., Winter 14) 

• Grade Obtained (e.g., B+) 

• Your standing while taking the course 

   FreshmanSophomoreJuniorSenior    

• Institution you took the course at (leave blank, if this is the same institution you will/do attend the Spring before REU program) 

• How much financial aid have you received on average per month while attending college so far ? 

• How many hours have you worked for pay (and not for units) on your college's campus per week during the current academic year 

• If applicable, indicate your job titles (relating to above) on campus or describe in just a few words 

• How many hours have you worked off campus for pay this academic year on average per week of instruction? 

• If applicable, list your off-campus employers and job functions (e.g., Starbucks: Barrista; Kaplan: Tutor)

• How many hours have you worked for pay (and not for units) on your college's campus per week during the last summer break 

• If applicable, indicate your job titles (relating to above) on campus or describe in just a few words 

• How many hours have you worked off campus for pay last summer break on average per week ? 

• If applicable, list your off-campus employers and job functions (e.g., Starbucks: Barrista; Kaplan: Tutor

• Are you or have you ever been a scholar in one of the following reearch programs: MARC, MBRS, McNAIR, MSRIP? Please identify and describe

• In case of above, please tell us the program director's name, email and phone number

• Do you expect to receive from them any funding during the summer program (other than from MacREU). Please indicate amount, 0 if none. The fellowship you will receive will be reduced by that amount so that hopefully an additional student can be admitted.

• Tell us about yourself. Please describe your current studies, recent research experiences (if applicable) and recent jobs or current employment. Are you active in any student organization? Do you work outside of school, or engage in extracurricular activities? Any leadership experience?
  How did you get to where you are now? Tell us about your background, upbringing and the path you took to the present. Have you overcome obstacles along the way?
  What are your goals and aspirations? How can this research program help you in achieving them? One part of this program will be recruitment of next year's students and raising awareness for STEM studies at your location. Can you think of ways you can help (after completion of the program) ? 
• Indicate up to three MacREU faculty you would prefer to work with. You can find them by clicking on the research link on the left (don't forget to save your applicaiton first). 

• Is the Application Complete? Are you done ? Did your receive all letters of recommendation you want and did upload your picture and transcript (all separate links). Once you check this box, we will consider your application. No more changes will be possible.