application (PDF)

Summer 2017 Application
Research Experiences for Undergraduates (REU) Program
Due: March 15, 2017 @ 5 pm EST
Thank you for your interest in the Alabama State University Summer 2017 REU Program sponsored by The
National Science Foundation. Please complete all sections of this application.
APPLICANT INFORMATION
Last Name

First

M.I.

Street Address

Apartment/Unit #

City
Phone:

Date

State
Cell:

Resident Status

E-mail Address
Permanent
Resident

US Citizen

Are you available 5/29 through 7/29/17?

Zip

YES

None

NO

Gender:
Ethnicity:
College/University where you are enrolled:
Major:

Minor:

GPA:

Expected graduation date (month & year):
Student Status:

First Year ☐

Sophomore ☐

Junior ☐

Senior ☐

Research Track Choice 1:

Research Track Choice 2:
Research Track Choice 3:

PROFESSIONAL REFERENCE
*Please list the contact information for two professional references who will write a recommendation letter to support your application to the REU
program. This letter should be sent directly to Dr. Komal Vig at reu@alasu.edu by March 15, 2017, the application deadline.
Full Name

Title

College/University

Phone

(

)

Address

Email

How long have you known this person?

Full Name

Title

College/University

Phone

(

)

Address

Email

How long have you known this person?

PERSONAL STATEMENT

Please submit a personal statement (600 word) that includes:
1) A description of your research interests and skills relevant to the REU program.
2) Your reasons for applying to the Alabama State University REU site.
3) A brief discussion of related experiences.
4) A brief discussion of your post-graduation plans and how your participation in this REU program will help with these plans.

DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to selection into the ASU Summer 2017 REU
Program, I understand that false or misleading information in my application or interview may result in my release from the program.
Name

Date

Please submit all application materials to Dr. Komal Vig (Principal Investigator) at reu@alasu.edu by March 15,
2017.

A complete application includes:
1)
2)
3)
4)

Completed REU Application Form (download, complete, resave and send)
Transcript (electronic format or scan to .pdf if possible)
Personal Statement (send document / pdf file)
Two letters of Recommendation (direct email to reu@alasu.edu)

Potential candidates may be contacted for a phone interview shortly after the closing application date. If you have any questions about the REU
program, please contact Dr. Komal Vig at reu@alasu.edu or by phone at 334.229.5132.