IINSPIRE LSAMP RESEARCH INTERN APPLICATION
IOWA STATE UNIVERSITY UNDERGRADUATES:
Spring 2018 Deadline: December 21, 2018, at 11:59 PM
PLEASE NOTE: This application DOES NOT REPLACE your application(s) to individual programs.
This is an application for research funding and is NOT an application for a research opportunity. Undergraduate students must separately apply to an undergraduate research experience or seek a research opportunity with an individual faculty researcher.
You are expected to inform the IINSPIRE LSAMP office if you are accepted into an REU program or have an internship offer, so that funding can be applied to your research experience.
I. STUDENT INFORMATION
Please provide your college/university email address.
Confirm Email Address
College/University Currently Attending
-- Please Select a College/University --
Des Moines Area Community College
Eastern Iowa Community Colleges
Hawkeye Community College
Iowa State University
Iowa Valley Community Colleges
Kirkwood Community College
Little Priest Tribal College
Nebraska Wesleyan University
University of Iowa
University of Northern Iowa
Upper Iowa University
- Please Select a College/University -
What is your undergraduate GPA?
What class are your currently in?
-- Please Select a Class Level --
Anticipated Graduation Date
Are you a US Citizen or Permanent Resident?
II. COMMUNITY COLLEGE STUDENT INFORMATION
If you are enrolled at a community college, please complete the following questions.
If you are NOT enrolled at a community college, please proceed to section III.
Do you plan to transfer to a 4-year college or university?
If YES, when do you anticipate transferring?
If YES, what is your intended major?
Please list any STEM-related courses you have taken
Enter "N/A" if this question does not apply to you.
What research topics are you most interested in?
III. RESEARCH INTERESTS
Applied to REU
Accepted to REU
Have not received an offer yet
If YES, please list the name of the REU program and/or internship opportunity and the point of the contact
Program Name 1 /Contact Name 1
Program Name 2/Contact Name 2
Have you identified other research experiences, such as working in an individual faculty researcher's lab?
If YES, briefly describe the experience and provide the faculty researcher's contact information.
IV. DEMOGRAPHIC INFORMATION
In an effort to track the diversity of our student interns, we are seeking voluntary responses to the following inquires.
Prefer not to respond
Hispanic or Latino
Not Hispanic or Latino
Black or African American
Hispanic or Latino(a)
Native Hawaiian/Pacific Islander
Send me a copy of my responses
Your submission is being processed. Please do not close this browser window until complete.