Last Name: First Name:

Your Address at the University/College:
Street Address:
City: State: Zip Code
Telephone: Email Address:

Home Address:
Street Address:
City: State: Zip Code:
Telephone: Email Address:

Academics:
College: Major: type:
Expected Graduation:
Science GPA: /4.00 Overall GPA: /4.00
Future Plans: (e.g. Ph.D. , Masters, Teaching, Industry, Med School)

Citizenship
(National Science Foundation requires all students to be US citizens or permanent residents
US-citizen permanent resident

Demographics
(Demographic information is completely voluntary)
Gender:
Female Male
Ethinicity:
African-American Asian-American European-American
Hispanic Native-American Other

Courses
List below all chemistry, physics, biology and math courses that you have taken (or you are taking) along
with the grades that you have earned in these courses:
1. 2.
3. 4.
5. 6.
7. 8.
9. 10.
11. 12.
13. 14.

Work Experience
List below any past or present science related work experience:
1. 2.
3. 4.
5. 6.

Recommendation Letters and Transcript
Ask two of your Professors to write letters of recommendation for you.
These letters should be forwarded to Dr. Gericke at the address below.
please list the two professors that shall be sending the recomendations:
Name: Email:
Name: Email:
In addition to the two letters of recommendation an official academic transcript is required. Request that
your university forward a copy of your transcript to the address below.
Submission Address
This completed letters of recommendation and transcripts:
Erin Michael
Kent State University
Chemistry Department
PO Box 5190
Kent, OH 44242

Research Preferences
Please select and prioritize three REU professors (see list) you would like to work with
1. 2. 3.

Statement
Prepare a half page statement describing why you are applying for this position and what you
expect to gain from this summer research experience !

"Please note that information provided in this application may be
used to report statistics to the National Science Foundation or other
reporting agencies in an aggregate report. All information provided
will remain confidential."

Deadline
Review of applications will begin March 1st and will continue until all positions are filled
Checklist; 1) This application form is completed? 2)Arranged for the letters of recommendation?
3)Arranged for the academic transcript
Any Questions? Contact; Prof. Arne Gericke (330) 672-2986 agericke@kent.edu or Prof. Robert Twieg (330) 672-2791 rtwieg@kent.edu