First Name:

Last Name:

Gender:

Date of birth (mm/dd/yy):

Citizenship:

E-mail address:

Current Address (include City, State & Zip):

Permanent Address (include City, State & Zip):

Primary telephone:

Secondary telephone (if different):

College or University:

Major and minor:

Year in college:

Anticipated graduation date (mm/yy):

Research Interest
Using the drop-down lists below, please select the three research groups you would most like to work in. Every effort will be made to place you in one of your prefered groups. In addition, please provide some indication of prior experience as it relates to your present interest. You may provide that information in the Statement of purpose section of this application (below).

Select First Choice IRG 1: Engineered Multiblock Polymers IRG 2: Organic Optoelectronic Interfaces IRG 3: Magnetic Heterostructures IRG 4: Nanoparticle-based Materials Self-Assembled Nanoscale Matrices for DNA Electrophoresis Structural and Optical Properties of Nanostructures Measuring Interfacial Molecular Structure in Functional Organic Field-Effect Transistors Control of Oxidation Level in Graphene Oxide by Annealing Ultra-Smooth Patterned Metals for Plasmonics and Bio-Sensing Synthesis of biodegradable plastics from sustainable phenolic monomers Select Second Choice IRG 1: Engineered Multiblock Polymers IRG 2: Organic Optoelectronic Interfaces IRG 3: Magnetic Heterostructures IRG 4: Nanoparticle-based Materials Self-Assembled Nanoscale Matrices for DNA Electrophoresis Structural and Optical Properties of Nanostructures Measuring Interfacial Molecular Structure in Functional Organic Field-Effect Transistors Control of Oxidation Level in Graphene Oxide by Annealing Ultra-Smooth Patterned Metals for Plasmonics and Bio-Sensing Synthesis of biodegradable plastics from sustainable phenolic monomers Select Third Choice IRG 1: Engineered Multiblock Polymers IRG 2: Organic Optoelectronic Interfaces IRG 3: Magnetic Heterostructures IRG 4: Nanoparticle-based Materials Self-Assembled Nanoscale Matrices for DNA Electrophoresis Structural and Optical Properties of Nanostructures Measuring Interfacial Molecular Structure in Functional Organic Field-Effect Transistors Control of Oxidation Level in Graphene Oxide by Annealing Ultra-Smooth Patterned Metals for Plasmonics and Bio-Sensing Synthesis of biodegradable plastics from sustainable phenolic monomers

Statement of purpose
Please include why you wish to participate in this program. Note any previous research programs or projects in which you have participated and be as inclusive as possible. State whether you would want to continue to work in a research area in which you have had prior experience or would prefer to pursue a new area of interest.

Statement of career goals
Upon completion of undergraduate studies, do you plan to apply to graduate school, enter a profession, etc.?

Where did you learn of this MRSEC opportunity?

    Department head at your institution
    Faculty member at your institution
    Undergraduate at your institution
    Other

If other, please indicate where.