2017 REU Site: Nanotechnology for Health, Energy & the Environment Program Application
Program Dates: May 30th  – August 4th, 2017; Priority Application Deadline: March 18th, 2017
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PART 1 - DEMOGRAPHIC INFORMATION
Last Name *
First Name *
Middle Name
Gender *
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 Number and Street Name, City, State, Zip Code
Current Mailing Address *
Should include Number and Street Name, City, State, Zip Code
Preferred Address for Correspondence *
If Current, Valid Until Date
Daytime Telephone # *
Evening Telephone #
Preferred Email Address (please double-check for clarity) *
PART 2: EDUCATION INFORMATION
Current Undergraduate Institution *
City, State *
Current Status *
Expected Graduation Date (MM/YY) *
Major #1 *
Major #1 GPA *
4.0 scale
Major #2, if applicable
Major #2 GPA
4.0 scale
Minor(s), if applicable
Cumulative GPA *
4.0 scale
GRE Date, if taken (MM/YY)
GRE Scores: V:
Have you taken any of the following Standardized Exams?
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.
Name:
Institution and Department
Email Address
Name:
Institution and Department
Email Address
PART 4: RESEARCH BACKGROUND
Please briefly describe your research interests *
Do you have any previous research experience? *
Research Project One Name/Topic
Research Project One Name/Location
Approximate Dates of Research
Research Project Two Name/Topic
Research Project Two Name/Location
Approximate Dates of Research
Research Project Three Name/Topic
Research Project Three Name/Location
Approximate Dates of Research
PART 5: RESEARCH AREAS
Please rank you top five preferences:  1 being the most desired
Participating mentor: Gary Halada - Materials Science and Engineering;
Participating mentor: T. Venkatesh - Materials Science and Engineering;
Participating mentor: Yizhi Meng - Materials Science and Engineering/Chemical Engineering program;
Participating mentor: Jason Trelewicz - Materials Science and Engineering;
Participating mentor: Amy Marschilok - Materials Science; Chemistry; Advanced Energy Center;
Participating mentor: Karen Chen-Wiegart - Materials Science and Engineering; National Synchrotron Light Source - II (NSLS-II) at Brookhaven National Laboratory (BNL)
Participating mentor: Taejin Kim - Materials Science and Engineering
Participating mentor: Alexander Orlov - Materials Science and Engineering;
Participating mentor: Mary Frame - Biomedical Engineering;
Participating mentor: Tadanori Koga - Materials Science and Engineering/Chemical Engineering program;
Participating mentor: Thomas S. Woodson - Technology and Society
PART 6: FUTURE PLANS
Do you plan to apply to graduate school after completing your undergraduate studies? *
If Yes, what discipline?
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 REU: Nanotechnology for Health, Energy & the Environment at Stony Brook University.  Email to CIE_GraduateSchool@stonybrook.edu, subject line 2017 REU.

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 the program and 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 REU Nanotechnology 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 CIE office by the application deadline (CIE_GraduateSchool@stonybrook).edu. Please confirm your submission of the following:
Please tell us how you heard about the REU Nanotechnologyat Stony Brook University: *
Required
Thank you for applying to the REU Nanotechnology! Please submit application materials and direct all inquiries to:
Center for Inclusive Education, 2401 Computer Science Building, Stony Brook University, Stony Brook, NY  11794-4422, cie_graduateschool@stonybrook.edu, Office:  (631) 632-1386 Fax: (631) 982-7321
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