Laboratory of Integrative Neuroscience

UIC ~ College of Liberal Arts & Sciences

 

                          APPLICATION FOR UNDERGRADUATE RESEARCH

                                                  REU at UIC Summer - 2005

  

NAME :________________________________________________________________

 

College:   _____________________________________ Year of Graduation:  ______

 

Major:_________________________________________________________________

 

E-mail:   ______________________________________  SSN:____________________

 

Campus Phone: _____________________  Home Phone:_______________________

Mailing Address:

        Permanent                                                           Campus

 

 

 

Academic Grade Point Average (A = 4.0):  _________________

 

From the research areas of participating faculty, please number the areas below

that most interest you (1,2,3):

 

_____ Synaptic Biology                                    _____ Learning & Memory

_____ Sensorimotor Integration                     _____ Perception, Mind, Bioethics

 

 I.   Please submit a PERSONAL STATEMENT explaining why you would like to  

     participate in the program.  Your statement should be less then one typed    

      page.  If you are a member of an under-represented group, you may include

      that information here.  You may also comment on relevant courses you have

      taken. 

    II.   An OFFICIAL TRANSCRIPT should be sent to: 

           Mary Wais, Coordinator, Laboratory of Integrative Neuroscience,

           840 W Taylor MC 067, Chicago, IL  60607

III.  REFERENCES (name, telephone, E-mail):

 

      A.  ________________________________________________________________

 

      B.  ________________________________________________________________

 

      Your references should e-mail a letter of recommendation to:  mwais@uic.edu

      or mail a letter to the address listed above.

 

 Last day applications will be accepted:   Monday, February 28, 2005