2017 IACS Data + Computing = Discovery: Summer Research Program
Program Dates: June 12th  – August 4th, 2017; Priority Application Deadline: April 1st, 2017
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PART 1 - DEMOGRAPHIC INFORMATION
Last Name *
First Name *
Middle Name
I identify my gender as... *
Date of Birth (MM/DD/YY) *
Citizenship *
Ethnicity *
Have you served in the military? *
If Yes, what branch? Dates of service?
Home/Permanent Mailing Address *
Please include Street Number and Name, City, State, Zip Code
Current Mailing Address *
Please include Street Number and Name, City, State, Zip Code
Preferred Address for Correspondence *
If Current, Valid Until Date
Cell Phone # *
Alternative Phone #
Preferred Email Address (please double-check for clarity) *
PART 2: EDUCATION INFORMATION
Current Undergraduate Institution *
City, State *
Current Academic Status *
Anticipated Graduation Date (MM/YY) *
Major #1 *
Major #1 GPA *
4.0 scale
Major #2, if applicable
Major #2 GPA
4.0 scale
Minor(s) or Concentration(s), if applicable
Cumulative GPA *
4.0 scale
Have you taken any of the following Standardized Exams?
GRE Date, if taken (MM/YY)
GRE Scores
Program participation, if applicable
PART 3: LETTERS OF RECOMMENDATION
Provide the following for the two faculty members from whom you are requesting letters of recommendation.
Recommender #1: Name
Recommender #1: Institution and Department
Recommender #1: Email Address
Recommender #2: Name
Recommender #2: Institution and Department
Recommender #2: Email Address
PART 4: RESEARCH BACKGROUND
Please briefly describe your research interests *
Do you have any previous research experience? *
Research Project #1: Name/Topic
Research Project #1: Location
Research Project #1: Approximate Dates of Research
Research Project #2: Name/Topic
Research Project #2: Location
Research Project #2: Approximate Dates of Research
Research Project #3: Name/Topic
Research Project #3: Location
Research Project #3: Approximate Dates of Research
PART 5: RESEARCH AREAS
Please rank your top three (3) preferences: 1 being the most desired
Participating mentor: Robert Harrison - Institute for Advanced Computational Science
Participating mentor: Matt Reuter – Applied Mathematics and Statistics
Participating mentor: Liliana Dávalos – Ecology and Evolution
Participating mentor: Heather Lynch – Ecology and Evolution
Participating mentor: Predrag Krstic – Institute for Advanced Computational Science (IACS)
Participating mentor: Dilip Gersappe – Materials Science and Chemical Engineering
Participating mentor: Jason Trelewicz – Materials Science and Chemical Engineering
Participating mentor: Michael Zingale – Physics & Astronomy
Participating mentor: Sotirios Mamalis – Mechanical Engineering
Participating mentor: Margaret (Meg) Schedel – Music
Participating mentor: Memming Park – Neurobiology and Behavior
Participating mentor: Alan Calder – Physics and Astronomy
PART 6: FUTURE PLANS
Do you plan to apply to graduate school after completing your undergraduate studies? *
If Yes, what discipline are you leaning toward?
What is your ultimate degree objective? *
With respect to graduate school, Stony Brook is... *
PART 7: PERSONAL STATEMENT
Please provide a separate document (2-3 typed pages) that highlights your interest in the 2017 Data + Computing = Discovery Summer Research Program through the Institute for Advanced Computational Science (IACS) at Stony Brook University.  Email to iacs@stonybrook.edu, with "Data + Computing = Discovery 2017" in the subject line.

Be very clear as to what you hope to gain from the program and how this research experience will help you achieve your academic and career goals. Be sure that your name is clearly noticeable on each page of your statement and note that a competitive and complete statement will include a description of the following:
Your specific research interests (Clearly stated interests are crucial in determining an appropriate faculty match);
Details about any relevant research experience you have had in an academic or work setting;
Your goals beyond the baccalaureate degree; and
The qualities you possess that you think will contribute to your success in the program and that will benefit the other interns.
PART 8: VERIFICATION
Certification:  I hereby certify that the information provided by me on this application is true and complete. Further, I understand that my participation in the Data + Computing = Discovery program at Stony Brook University may be denied if any information is found to be false.
Signature of Applicant *
Date *
Application Checklist:  For best consideration, each of the following items must be received by the IACS office by the application deadline (iacs@stonybrook.edu). Please confirm your submission of the following:
Please tell us how you heard about the IACS Data + Computing = Discovery Summer Research Program at Stony Brook University? *
Check all that apply
Required
Thank you for applying to the 2017 Data + Computing = Discovery program!
Please submit all application materials and inquiries to:

Institute for Advanced Computational Science (IACS)
Stony Brook University
100 Nicolls Road
IACS Building Mailstop 5250
Stony Brook, NY 11794-5250
Email: iacs@stonybrook.edu
Phone: 631-632-4629
Fax: 631-632-4125
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