Personal Information

First and Last Name


Email Address


Month/Day/Year of Birth

Male Female

Ethnic Origin


U.S. Citizen
Yes No

If not a U.S. Citizen, Permanent Resident
Yes No

School mailing address
City State Zip
Phone Number

Permanent home address
City State Zip
Permanent phone number


Academic Information

Undergraduate Institution


Major


Current GPA


Expected Graduation Date


Applicant must arrange to have official transcript(s) sent by March 7, 2008.

Please list completed chemistry, polymer, physics, biochemistry, and biology courses and final grades.

Course Grade
Course Grade
Course Grade
Course Grade
Course Grade
Course Grade


Previous Research Experience

Please describe pertinent research experiences.




Personal Statement

In the space below, please briefly describe your career goals and how participation in the Research Experience for Undergraduates in the Center for Response-Driven Polymeric Film will help you in attaining these goals.




If you desire, please provide other information that you think might be important. Include science related hobbies and outside activities indicating your skills and leadership abilities.




Research Preferences

Please identify your top three preferences for research topics. Review our website for further details.

Protein Self-Assembly Behavior

Polymer Cellular Interactions

Synthesis of "Smart" Polymers

DNA/Protein Interactions

Computer Simulation Studies of Polymers  

Polymer Processing and Film Formation  

Assembly of Biological Nanocompartments

Colloids and Surface Science

Atomic Force Microscopy and Morphology of Polymer Surfaces

Polymers and Coatings in Biotechnology

Polymers in the Stimuli-Responsive Behaviors

Interactions of Biomolecules with Polymer Surfaces

Biologically-Inspired Polymers

Formation of Biofilms

Polymers for Biomedical Applications

Biodegradable Polymers

Environmentally Friendly Polymeric Coatings

Phase-Separated Structured Polymeric Films


I certify that the above information is correct. If accepted for this program, I agree to participate for the entire ten week summer period and will not accept any other form of remuneration.

Date   Electronic Signature

I Retain / Waive my right of access the accompanying letter of recommendation.