CIMA-LSAMP Summer 2019 Undergraduate Research Program Application

May 27, 2019-August 2, 2019

Application Deadline is February 15, 2019

Applicant Information

First Name:

Last Name:

Banner ID: (it is a nine digit number, starting with "9")

Student Email:

Favorite Email:

Phone number: (000)000-0000

Gender:

MaleFemalePrefer Not to Answer

U.S. Citizen:

YesNoPermanent Resident

Ethnicity:

Race:

Disability status:

Academic Information

Which of the Alamo Colleges is your home campus?

Current Concentration (e.g. Biology, Chemistry, Engineering, etc.):

Highest Science Course Taken:

Highest Math Course Taken:

Current GPA:

Your current classification:

FreshmanSophomoreJunior

How many hours have you completed at Alamo Colleges?

1-30 hours30-60 hours More than 60 hours

Expected Graduation Date:

I will be enrolling at one of the Alamo Colleges in Fall 2019: YesNo

Have you attended any other Colleges/Universities? YesNo

Have you ever participated in any undergraduate research? YesNo

I plan on obtaining my associates degree from one of the Alamo Colleges: YesNoUndecided

I plan on transferring to a 4 year institution prior to graduating from an Alamo Colleges YesNoUndecided

What is the highest degree you desire to obtain? Associate's DegreeBachelor's DegreeMaster's DegreeDoctorate Degree

Program Information Each Alamo Colleges student will be paired with a faculty mentor from a partnering university and participate in STEM related research being conducted in a faculty's laboratory. Once you have been selected into the program, you will choose which school and research topic, you would like to complete your research in.

If other, please specify :

Personal Statements

Please answer the following questions: (maximum of 200 words required for each question)

Why have you chosen your STEM major and what are your STEM-related career goals?

Why do you want to participate in this program?

Why do you think that you’ll enjoy research?

Have you had any research experience in the past?

What career would you like to pursue and what steps are needed for you to attain it?

What leadership experiences do you have?

List any adversity and challenges in your program of study/academics.

Are you able to dedicate 40 hours a week for 10 weeks during the summer?

YESNO

If requested, are you able to dedicate some evenings and /or weekends over the 10-week period to the summer research project?

YESNO

Have you been admitted to a 4 year institution for the upcoming Summer/Fall or in the past?

YESNO

If Yes, which institution?

UTSATAMUSAUIWOther

If Other, please specify:

Please review the link and select 3 to 5 faculty mentors and research areas that may interest you. Please enter your selection and the topic(s) below.

Faculty Mentors and Research Areas

Faculty mentor and reseach area:

Faculty mentor and reseach area:

Faculty mentor and reseach area:

Faculty mentor and reseach area:

Faculty mentor and reseach area:

* All students participating in the 10 weeks (May 2019 – August 2019) CIMA-LSAMP Undergraduate Research Program will not be allowed to enroll in day time classes during the summer. Dates subject to change. Start dates may vary depending on university.

References

Please list the name and email address of two (2) individuals who will serve as a reference for you. These individuals should be math, science (non-medical), engineering, or technology professors or teachers who know you well and who are familiar with your academic performance and STEM-related career goals.

We will contact your reference directly to request their recommendation. RECOMMENDATIONS MUST BE RECEIVED BY THE DEADLINE STATED ABOVE.

Reference #1 Name:

Occupation,title, and affiliation:

Email Address:

Please use the upload control to upload letter (optional). (only .doc .docx .pdf files are allowed)

Upload letter:

Reference #2 Name:

Occupation,title, and affiliation:

Email Address:

Please use the upload control to upload letter (optional). (only .doc .docx .pdf files are allowed)

Upload letter:

By submitting this application, I certify that this information is complete and correct to the best of my knowledge. I authorize the Alamo Colleges and CIMA-LSAMP Program to review my academic records on file at Alamo Colleges to verify my enrollment status, residency, declared concentration, and review my course grades, GPA and academic transcript.

To prevent duplicates, click the SUBMIT button only once.