SPUR Application

Name *

First

Last *

Last

Preferred Name

Preferred Pronouns

she/her/hers

he/him/his

they/them/theirs

otherother

Email *

Phone Number *

Permanent Address *

Permanent Address

City

State/Province

Zip/Postal

Country

Will you be 18 years or older as of the Program start date? *

Yes

No

Your College or University *

If you transferred from other institutions during your undergraduate career, please list:

Approximate GPA *

Cumulative GPA

Science/Math GPA *

Science/Math GPA

Expected Graduation *

Year

Term *

Term

Class * Class

As of Spring Term/Semester

Major/Minors *

Do your career goals include research in life sciences?

Yes

No

Unsure

Do you plan to take the GRE, MCAT, or other graduate/professional school admission standardized exam?

Do your career goals include an advanced degree? *

Yes, PhD

Yes, MD

Yes, PhD/MD

Unsure

Other Professional Degree e.g., DDS, DVM, etc.Other Professional Degree e.g., DDS, DVM, etc.

Have you participated previously in a summer undergraduate research program at another institution? *

Yes

No

Please indicate program and institution name of your previous summer research program:

Please describe your readiness to conduct a guided research project

Describe your academic background, scientific interests, goals, and past research experience (if any). 300 word limit

*

Note: prior research experience is not required

List significant science courses you have taken and describe specific laboratory techniques you have may have used. *

Why do you want to participate in a Summer research experience?

Explain what you hope to gain from the Summer experience and how it will help you pursue your career and personal goals. If applicable, please describe any barriers you have faced. 300 word limit. *

Please Indicate your area(s) of research interest and rank in order of importance (1 being first choice) Please Indicate your area(s) of research interest and rank in order of importance (1 being first choice)

Importance (1 being first choice)

1

2

3

Please indicate your area(s) of research interest Please indicate your area(s) of research interest

Importance

1

2

3

Please indicate your area(s) of research interest Please indicate your area(s) of research interest

Importance

1

2

3

After viewing the participating laboratories (Found Here), please list a few laboratories for which you might have a preference (if any), and briefly describe why.

Describe your outside interests and activities. 200 word limit

Paste or type your classes and grades here. Please include enough detail that we are able to see clearly what courses you have taken and the grades received. There is no need for official transcripts or images. Be sure to include the courses you’re currently taking for Winter and Spring term). *

Gender Identity

If you would like to provide more details, such as your preferred pronouns, please enter here

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Race *

If Other or Multiracial Please Explain

Do you claim disadvantaged status? *

If you claimed Other/Multiple on Disadvantaged Status, please explain:

If you claimed low income please indicate any loans, grants, or scholarships that you qualify for or have received

Pell Grant

Federal Supplemental Educational Opportunity Grant (FSEOG)

Academic Competitiveness Grants (ACG)

Science and Math Access to Retain Talent (SMART)

Heath Professions Student Loans (HPSL)

Loans for Disadvantaged Student Program

Scholarships from the U.S. Department of Health and Human Services

OtherOther

How did you learn about this program? How did you learn about this program?

Would you like to be contacted about University of Oregon graduate school programs?

Yes

No

If yes, please provide a permanent email address

Please Note: your references will only be contacted if your application advances

Name and Email of Reference 1 *

Name

Name and Email of Reference 1 *

Email

Department

Institution

Name and Email of Reference 2 *

Name

Name and Email of Reference 2 *

Email

Department

Institution

Letter of Recommendation Access Waiver Form (FERPA)

Under the Family Educational Rights and Privacy Act of 1974 (P.L. 93-380), applicants to our research programs have the right to inspect letters of recommendation written on their behalf unless they voluntarily choose to waive that right. Applicants may use this form to waive that right. Our admission deliberations and decisions are not influenced by the presence or absence of such a waiver.

Would you like to waive your right to view the letter of recommendation?

*

Yes

No

Student Applicant Full Name

In accordance with the Family Educational Rights and Privacy Act of 1974, I, the above named student, hereby permanently waive any and all right of access to or inspection of the letter of recommendation accompanying this document.

Student Signature

Date

UO SPUR UO Summer Program for Undergraduate Research

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SPUR Application