Application Form

Program Selection

To which departmental program are you applying (select one)?  
Select your top three choices from the departmental program for which you are applying.
(list by PROJECT NUMBER only, e.g., 2, 4, 1).   
Do not put any other text in this field, just project numbers for the departmental program for which you are applying.

Personal Information

Phone number
If you are not a US Citizen or Permanent Resident, you are not eligible for this program.

Additional Information

Permanent Address
Additional E-Mail (if any)
How did you hear about the Summer Research Scholars Program?

Academic Information

Current School Name

Field of Study

Referee Selection and Waiver of Inspection

1974 Privacy Act

Under the provisions of the Family Educational Rights and Privacy Act of 1974, I hereby waive my right to inspect the letter of recommendation given by my referee with the understanding that it will be used only for purposes of consideration for an undergraduate Summer Research Scholar Program award.

Please check this box to indicate you agree with the privacy act statement


Pressing Submit will submit your application and transmit the waiver information to the 2 referees you've indicated above and to the Summer Scholars Program coordinator. Please follow up with your reference professors to make sure this message wasn't discarded as spam.