Student Application Form for 2017-18 Junior Fellowship Award

Name (Last,First,MI): *

Major: *

Major GPA: *

Cumulative GPA: *

SPIRE ID: *

Campus Address: *

Campus Phone: *

Permanent Address: *

Permanent Phone: *

UMass E-mail Address: *

Faculty Mentor Full Name (Laboratory): *

Mentor Department: *

Mentor Campus Phone: *

Mentor UMass Email: *

Personal Statement : *

Upload a Personal Statement: This essay is a very important part of the application. Please write a 1-2 page essay (less than 1500 words) describing your research interests, academic history, career goals, and any other experiences that will help us assess your application

Proposed Research Statement: *

Please develop and discuss the specific goals of your Junior Fellow's research project with your Faculty Sponsor. Then, write a 1-2 page summary of your proposed research plan for the 2017-2018 year.

Unofficial Transcript: *

Upload an Unofficial Copy of your Transcript.

Recommendation Waiver Statement: *

Yes, I waive my right of access to these recommendations

No, I do not waive my right of access to these recommendations

You will be asked to have your faculty sponsor and one additional individual fill out a recommendation form in support of your internship application. Under the provisions of the Family Educational Rights and Privacy Act of 1974, if you waive your right to access these recommendation forms, the University of Massachusetts may therefore consider them confidential. If you do not waive your right to access your recommendations, please note we will notify your letter writers of your choice.

Signature: *

Yes, all the information contained in the application is true.

By checking the above, you attest that all the information contained in this application is true.

Biology FormsSecure Information SubmissionBiology Department, University of Massachusetts Amherst

Student Application Form for 2017-18 Junior Fellowship Award