THE ENVIRONTMENTAL MOLECULAR SCIENCE INSTITUTE

RES application -2006/7

Application for Participation in RES 2006/7
Environmental Molecular Science Institute

Application MUST include:

A completed application form
A recommendation from your science teacher

Name (Last, First):
Name of the school:
Class year (select one):
Address:
Phone number:
Email address:
Date of birth and age:
Disability (select one or more):
Hearing Impairment
Visual Impairment
Mobility/Orthopedic Impairment
Other (Enter Description)
None
Completing questions 9 & 10 is optional. This information is used for reporting statistics to National Science Foundation (NSF) only and none of that information is used in making acceptance decisions.

Ethnicity (Optional; choose one) :

Hispanic or Latino

Not hispanic or latino

Do not wish to provide

Hispanic or Latino. A person of Mexican, Puerto Rican, Cuban, South or Central American, or other Spanish culture or origin, regardless of race.

Race (Optional; select one or more):
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American. A person having origins in any of the black racial groups of Africa.
Hawaiian or Other Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White. A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Do you have a health insurance? (University of Notre Dame regulations requires that all participants carry health insurance):
Name of health insurance provider and policy number:
Your GPA:
Have you ever considered continuing your education through graduate studies?
Do you anticipate that this RES program may help determining whether you want to pursue science study in college?
Please provide the name of the teacher whom you have contacted to provide a recommendation:
(Please arrange to have the recommendation sent to us directly.)

Complete short (3-4 sentences or less) essays for each of the following:
Why do you want to participate in this particular RES program?
By applying to this program, you are expressing an interest in environmental molecular science.
What is this interest based upon?
Do you have any experience that you believe prepares you for contributing to a program such as this RES?
Please describe this experience and how it relates to the RES.
Which of the projects described (see "Research Interests" ) is of interest to you. Please rank at least four of them in terms of your level of interest? Why are you interested in these particular projects? (You may not work in same projects as these are basically designed for graduate and undergraduate students).

Please complete all items requested. Remember to have your science teacher send a letter of recommendation to emsi@nd.edu.