Academic Year Research Fellowship Application

Name *

Student ID# *

Email Address *

Phone Number *

Address *

Intended or Declared Major *

Major Advisor (if assigned) *

Proposed Research Advisor *

GPA *

Please answer the following: *

	Yes	No
Are you a citizen or permanent resident of the United States? *	Are you a citizen or permanent resident of the United States? - Yes	Are you a citizen or permanent resident of the United States? - No
Are you a current research fellow? (Mellon Mays, HHMI, ....) *	Are you a current research fellow? (Mellon Mays, HHMI, ....) - Yes	Are you a current research fellow? (Mellon Mays, HHMI, ....) - No
Are you applying for funding concurrently? (Mellon Mays, HHMI, ....) *	Are you applying for funding concurrently? (Mellon Mays, HHMI, ....) - Yes	Are you applying for funding concurrently? (Mellon Mays, HHMI, ....) - No

If you have current funding, please indicate source:

What semester are you applying for? *

Please note that funding will continue in Spring only if the research advisor reports satisfactory fall work.

Fall

Spring

Describe in detail the proposed research project *

Limit your description to ~1000 words

In addition to this application, please remember to submit your unofficial transcript (student record printout) to ugresearch@physics.wustl.edu and request that your advisor fill out the Mentor Nomination Form.

I certify that the answers and statements contained in this submission are true to the best of my knowledge. All additional grants and stipends will also relate to the same research project and must only cover additional costs not covered by this grant. In addition, I agree to submit an abstract of my work to the Office of Undergraduate Research.

Leave this field blank

Math question * 11 + 6 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.